# GLENSIDE ORTHODONTICS PLLC

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

## Provider details

- **NPI number:** 1457255432
- **Authorized official:** DR. KELLY MCMONAGLE DMD, MSD (OWNER/ ORTHODONTICS)
- **Authorized official phone:** (484) 744-8640

## Contact information

- **Practice address:** 400 GREENWOOD AVE, WYNCOTE, PA 19095-1825
- **Practice address phone:** (267) 735-2770
- **Practice address fax:** (267) 735-2779
- **Mailing address:** 400 GREENWOOD AVE, WYNCOTE, PA 19095-1825
- **Mailing address phone:** (267) 735-2770
- **Mailing address fax:** (267) 735-2779

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/05/2026