# GLEN MILLS DENTAL PLLC

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

## Provider details

- **NPI number:** 1689386088
- **Authorized official:** MS. ANASTASIA DIXON (DIRECTOR OPERATIONS)
- **Authorized official phone:** (619) 519-1561

## Contact information

- **Practice address:** 23 REGENCY PLZ, GLEN MILLS, PA 19342-1001
- **Practice address phone:** (610) 358-5690
- **Mailing address:** 22 PAOLI PIKE, PAOLI, PA 19301-1830
- **Mailing address phone:** (610) 358-5690

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2022
- **Last updated:** 01/20/2023