# OMENE DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenixville Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790497196
- **Authorized official:** MR. AKPO OMENE (OWNER)
- **Authorized official phone:** (215) 609-8649

## Contact information

- **Practice address:** 883 VALLEY FORGE RD, PHOENIXVILLE, PA 19460-2623
- **Practice address phone:** (610) 933-3717
- **Mailing address:** 883 VALLEY FORGE RD, PHOENIXVILLE, PA 19460-2623
- **Mailing address phone:** (610) 933-3717

## 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