# NEWTOWN SQUARE DENTAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1497085286
- **Authorized official:** CHARLES J ROSE DMD (MANAGING MEMBER)
- **Authorized official phone:** (610) 359-1660

## Contact information

- **Practice address:** 28 ALPHA DR, NEWTOWN SQUARE, PA 19073-4102
- **Practice address phone:** (610) 359-1660
- **Practice address fax:** (610) 359-1662
- **Mailing address:** 28 ALPHA DR, NEWTOWN SQUARE, PA 19073-4102
- **Mailing address phone:** (610) 359-1660
- **Mailing address fax:** (610) 359-1662

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 12/30/2009