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PENNSYLVANIA DENTAL GROUP LTD
NPI 1952447534
Dentist in Phila, PA

Active since January 30, 2007
1740 SOUTH ST, SUITE 504, PHILA, PA 19146(215) 545-6334(215) 893-4675 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennsylvania Dental Group Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNSYLVANIA DENTAL GROUP LTD (NPI 1952447534) is a healthcare organization registered as a dentist in Phila, Pennsylvania and active in the NPI registry since January 2007. The organization lists George E Boudreau, Dmd President, as its authorized official.

NPPES Registry Identity

NPI1952447534
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePENNSYLVANIA DENTAL GROUP LTD
Location Address1740 SOUTH ST, SUITE 504Phila, PA 19146
Mailing Address1740 South St, Suite 504Phila, PA 19146 · (215) 387-0883 · Fax (215) 387-9659
Phone(215) 545-6334
Fax(215) 893-4675
Organization SubpartNo
Authorized OfficialGeorge E BoudreauDmd President · (215) 387-0883
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952447534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in PA · DS035436✔ Licensed in PA · DS18680L✔ Licensed in PA · DS19260L
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1740 SOUTH ST, Phila, PA 19146
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA CONROY NAUMANN CRNP
Nurse Practitioner (Pediatrics)
1740 SOUTH ST, SUITE 200
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
CENTER CITY PEDIATRICS
Lactation Consultant, Non-RN
1740 SOUTH ST, SUITE 200
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
DR. REZA MADANI M.D.
Pediatrics
1740 SOUTH ST, SUITE 301
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
GRACE EUNHAY LEE M.D.
Pediatrics
1740 SOUTH ST
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
ELIZABETH JOY ROBINSON M.D.
Pediatrics (Adolescent Medicine)
1740 SOUTH ST, SUITE 200
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
CENTER CITY PEDIATRICS, LLC
Speech-Language Pathologist
1740 SOUTH ST, STE 301
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
DR. GEORGE E BOUDREAU DMD
Dentist
1740 SOUTH ST, STE 504
PHILADELPHIA, PA 19146
Philadelphia County (215) 545-6334
ERIC D BERGER MD
Pediatrics
1740 SOUTH ST, SUITE 301
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsylvania Dental Group Ltd's NPI number?

The NPI number for Pennsylvania Dental Group Ltd is 1952447534. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Pennsylvania Dental Group Ltd located?

Pennsylvania Dental Group Ltd is located at 1740 South St Suite 504, Phila, PA 19146. The listed phone number is (215) 545-6334.

What is Pennsylvania Dental Group Ltd's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pennsylvania Dental Group Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.