# BETHELDENTAL ASSOCIATES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1801126677
- **Authorized official:** CHARLES J ROSE DMD (MANAGING MEMBER)
- **Authorized official phone:** (856) 904-9946

## Contact information

- **Practice address:** 1376 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1608
- **Practice address phone:** (610) 459-5859
- **Practice address fax:** (610) 485-1782
- **Mailing address:** 1376 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1608
- **Mailing address phone:** (610) 459-5859
- **Mailing address fax:** (610) 485-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI014622 | NJ | Yes |

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 12/30/2009