# NUSQUARE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUMINA DENTAL PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669349361
- **Legal business name:** LUMINA DENTAL PLLC
- **Authorized official:** DR. NEELIMA PITCHIKA DDS (DENTIST)
- **Authorized official phone:** (215) 200-5165

## Contact information

- **Practice address:** 218 S NEWTOWN STREET RD, NEWTOWN SQUARE, PA 19073-4000
- **Practice address phone:** (215) 200-5165
- **Practice address fax:** (610) 375-6923
- **Mailing address:** 111 PARKVIEW WAY, NEWTOWN SQUARE, PA 19073-2254
- **Mailing address phone:** (215) 200-5165
- **Mailing address fax:** (610) 375-6923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 10/20/2025
