# PENNRIDGE DENTAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1164442554
- **Authorized official:** DR. JOSEPH A MIRTAJ DMD (OWNER)
- **Authorized official phone:** (215) 257-4447

## Contact information

- **Practice address:** 120 N. MAIN STREET, SELLERSVILLE, PA 18960-2327
- **Practice address phone:** (215) 257-4447
- **Practice address fax:** (215) 453-7470
- **Mailing address:** 55 N MAIN ST, SELLERSVILLE, PA 18960-2327
- **Mailing address phone:** (215) 257-4447
- **Mailing address fax:** (215) 453-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS028963L | PA | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 10/15/2021