# HELLERTOWN DENTAL GROUP

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

## Provider details

- **NPI number:** 1235303074
- **Authorized official:** SANDRA L MATOS (OFFICE MANAGER)
- **Authorized official phone:** (610) 838-0131

## Contact information

- **Practice address:** 1213 MAIN ST, HELLERTOWN, PA 18055-1320
- **Practice address phone:** (610) 838-0131
- **Mailing address:** 1213 MAIN ST, HELLERTOWN, PA 18055-1320
- **Mailing address phone:** (610) 838-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DSO26274L | PA | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008