# EDGEWOOD DENTAL LLC

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

## Provider details

- **NPI number:** 1679682298
- **Authorized official:** MRS. ANTOINETTE SLAVIN (OFFICE MANAGER)
- **Authorized official phone:** (215) 493-7000

## Contact information

- **Practice address:** 301 OXFORD VALLEY RD, SUITE 1105A, YARDEY, PA 19067
- **Practice address phone:** (215) 493-7000
- **Practice address fax:** (215) 493-7002
- **Mailing address:** 301 OXFORD VALLEY RD, SUITE 1105A, YARDEY, PA 19067
- **Mailing address phone:** (215) 493-7000
- **Mailing address fax:** (215) 493-7002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS026744L | PA | — |
| 122300000X | Dentist | DS028078L | PA | Yes |
| 122300000X | Dentist | DS028968L | PA | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020