# LIBERTY DENTAL GROUP

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

## Provider details

- **NPI number:** 1427206515
- **Authorized official:** DR. SURENDRA SINGH DMD (CEO)
- **Authorized official phone:** (610) 933-7001

## Contact information

- **Practice address:** 300 SCHUYLKILL RD, PHOENIXVILLE, PA 19460-5202
- **Practice address phone:** (610) 933-7001
- **Practice address fax:** (610) 983-9268
- **Mailing address:** 300 SCHUYLKILL RD, PHOENIXVILLE, PA 19460-5202
- **Mailing address phone:** (610) 933-7001
- **Mailing address fax:** (610) 983-9268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DS026806L | PA | — |
| 1223G0001X | General Practice Dentistry | DS026473L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS037032 | PA | — |
| 1223P0300X | Periodontics | DS027974L | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS027665L | PA | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008