# PA DENTAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487981767
- **Authorized official:** PRIYA BAROT (OFFICE MANAGER)
- **Authorized official phone:** (215) 946-9400

## Contact information

- **Practice address:** 320 N OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2610
- **Practice address phone:** (215) 946-9400
- **Practice address fax:** (215) 946-9409
- **Mailing address:** 320 N OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-2610
- **Mailing address phone:** (215) 946-9400
- **Mailing address fax:** (215) 946-9409

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2009
- **Last updated:** 11/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005292490001 | — | PA |
| 05 | — | 1023255360001 | — | PA |
| 05 | — | 1023265700001 | — | PA |
| 05 | — | 1023761790001 | — | PA |