# ACCESS DENTAL LLC

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

## Provider details

- **NPI number:** 1790031623
- **Authorized official:** DR. SHEEBA SHAJU DDS (DENTAL DIRECTOR)
- **Authorized official phone:** (484) 237-4054

## Contact information

- **Practice address:** 340 COMMONS DR, PARKESBURG, PA 19365-2154
- **Practice address phone:** (484) 237-4054
- **Mailing address:** 18 MADISON WAY, DOWNINGTOWN, PA 19335-5329
- **Mailing address phone:** (484) 237-4054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS038352 | PA | Yes |

## Other

- **Enumeration date:** 07/29/2012
- **Last updated:** 07/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1659683464 | NPI | PA |