AUDUBON DENTAL ASSOCIATES LTD NPI 1245284991

NPI Information

  • NPI: 1245284991
  • Provider Name: AUDUBON DENTAL ASSOCIATES LTD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2642 AUDUBON ROAD
    AUDUBON, PA
    ZIP 19403
  • Phone: (610) 666-7590

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NPI Details

AUDUBON DENTAL ASSOCIATES LTD is a general practice dentist in Audubon, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. AUDUBON DENTAL ASSOCIATES LTD NPI is 1245284991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2642 AUDUBON ROAD
AUDUBON, PA
ZIP 19403
Phone: (610) 666-7590
Fax: (610) 666-9565

The provider's authorized official is George W Heckert .
The authorized official title is President and has the following contact phone number (610) 666-7590.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDS017422LPENNSYLVANIANo
21223G0001XDentistGeneral PracticeDS017084LPENNSYLVANIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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