# BERKSHIRE DENTAL ASSOCIATES, LTD.

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

## Provider details

- **NPI number:** 1396800678
- **Authorized official:** DR. ROBERT JOHN SHUTTLESWORTH D.D.S. (OWNER)
- **Authorized official phone:** (610) 376-3210

## Contact information

- **Practice address:** 1260 BROADCASTING RD, SUITE 100, WYOMISSING, PA 19610-3223
- **Practice address phone:** (610) 376-3210
- **Practice address fax:** (610) 376-2140
- **Mailing address:** 1260 BROADCASTING RD, SUITE 100, WYOMISSING, PA 19610-3223
- **Mailing address phone:** (610) 376-3210
- **Mailing address fax:** (610) 376-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS025949L | PA | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/22/2020