# ADELPHIA DENTAL MANAGEMENT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043696875
- **Authorized official:** DR. DAVID WILLIAMS (CONSULTANT)
- **Authorized official phone:** (610) 619-0061

## Contact information

- **Practice address:** 10050 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3965
- **Practice address phone:** (215) 277-2177
- **Practice address fax:** (610) 340-9060
- **Mailing address:** 10050 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3965
- **Mailing address phone:** (215) 277-2177
- **Mailing address fax:** (610) 340-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 122300000X | PA | Yes |
| 1223G0001X | General Practice Dentistry | 1223G0001X | PA | — |

## Other

- **Enumeration date:** 08/04/2015
- **Last updated:** 08/20/2015