# STRASBURG DENTAL GROUP

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

## Provider details

- **NPI number:** 1154437242
- **Authorized official:** DR. JEFFREY L PUTT DDS (DENTIST)
- **Authorized official phone:** (717) 687-6061

## Contact information

- **Practice address:** 222 N DECANTUR STREET, STRASBURG, PA 17579
- **Practice address phone:** (717) 687-6061
- **Practice address fax:** (717) 687-3720
- **Mailing address:** 222 N DECANTUR STREET, STRASBURG, PA 17579
- **Mailing address phone:** (717) 687-6061
- **Mailing address fax:** (717) 687-3720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS 021002L | PA | — |
| 122300000X | Dentist | DS 029835-L | PA | — |
| 122300000X | Dentist | DS 15379 | PA | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020