# PHOENIX DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upper Perk Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306677968
- **Authorized official:** DR. MICHAEL CASAB DDS (OWNER/DOCTOR)
- **Authorized official phone:** (585) 410-1577

## Contact information

- **Practice address:** 2771 GERYVILLE PIKE, PENNSBURG, PA 18073-2300
- **Practice address phone:** (585) 410-1577
- **Mailing address:** 427 GRYFFINDOR DR, PHOENIXVILLE, PA 19460-1245
- **Mailing address phone:** (585) 410-1577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024