# GENTLE DENTAL SPRINGFIELD LLC

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

## Provider details

- **NPI number:** 1285758045
- **Authorized official:** MIKE COLE (INSURANCE DIRECTOR)
- **Authorized official phone:** (727) 726-1611

## Contact information

- **Practice address:** 760 W SPROUL RD \# 100, SPRINGFIELD, PA 19064-4001
- **Practice address phone:** (610) 544-8881
- **Mailing address:** 760 W SPROUL RD \# 100, SPRINGFIELD, PA 19064-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020
