# AMERICAN DENTAL GROUP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN DENTAL GROUP P.C.
- **Other names:** Suburban Dental Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538445887
- **Legal business name:** AMERICAN DENTAL GROUP P.C.
- **Authorized official:** MR. MAHENDRA KAKADIA (GENERAL MANAGER)
- **Authorized official phone:** (646) 725-3939

## Contact information

- **Practice address:** 1621 N CEDAR CREST BLVD STE 117, ALLENTOWN, PA 18104-2312
- **Practice address phone:** (610) 820-9900
- **Mailing address:** 1621 N CEDAR CREST BLVD STE 117, ALLENTOWN, PA 18104-2312
- **Mailing address phone:** (610) 820-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS036851 | PA | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/01/2011