# KING OF PRUSSIA DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1619079704
- **Authorized official:** BRAD G JACOBSON DDS (OWNER)
- **Authorized official phone:** (610) 265-4142

## Contact information

- **Practice address:** 491 ALLENDALE RD, SUITE 306, KING OF PRUSSIA, PA 19406-1432
- **Practice address phone:** (610) 265-4142
- **Practice address fax:** (610) 265-0926
- **Mailing address:** 491 ALLENDALE RD, SUITE 306, KING OF PRUSSIA, PA 19406-1426
- **Mailing address phone:** (610) 265-4142
- **Mailing address fax:** (610) 265-0926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 06-0000001653 | PA | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020