# VENNERI DENTAL GROUP PC

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

## Provider details

- **NPI number:** 1669577987
- **Authorized official:** MRS. ROSANNA M VENNERI (SECRETARY OF CORP)
- **Authorized official phone:** (215) 675-4090

## Contact information

- **Practice address:** 3040 E COUNTY LN RD, HATBORO, PA 19040
- **Practice address phone:** (215) 675-4090
- **Practice address fax:** (215) 675-9059
- **Mailing address:** 3040 E COUNTY LN RD, HATBORO, PA 19040
- **Mailing address phone:** (215) 675-4090
- **Mailing address fax:** (215) 675-9059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS013110L | PA | — |
| 122300000X | Dentist | DS025876L | PA | — |
| 122300000X | Dentist | DS026858L | PA | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020