# BRINTON LAKE DENTAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists at Brinton Lake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558723494
- **Authorized official:** PAIGE ELIZABETH D'ANGELO (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (609) 828-8986

## Contact information

- **Practice address:** 145 BRINTON LAKE RD, SUITE 300, GLEN MILLS, PA 19342-1285
- **Practice address phone:** (610) 459-9963
- **Practice address fax:** (610) 459-8290
- **Mailing address:** 145 BRINTON LAKE DRIVE, GLEN MILLS, PA 19342
- **Mailing address phone:** (610) 459-9663
- **Mailing address fax:** (610) 459-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS027954L | PA | Yes |

## Other

- **Enumeration date:** 03/21/2016
- **Last updated:** 03/21/2016