# AUDUBON DENTAL ASSOCIATES LTD

> 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:** 1245284991
- **Authorized official:** GEORGE W HECKERT JR. DDS (PRESIDENT)
- **Authorized official phone:** (610) 666-7590

## Contact information

- **Practice address:** 2642 AUDUBON ROAD, AUDUBON, PA 19403
- **Practice address phone:** (610) 666-7590
- **Practice address fax:** (610) 666-9565
- **Mailing address:** 2642 AUDUBON ROAD, AUDUBON, PA 19403
- **Mailing address phone:** (610) 666-7590
- **Mailing address fax:** (610) 666-9565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS017084L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS017422L | PA | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020
