# PENN'S COMMONS DENTAL GROUP

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

## Provider details

- **NPI number:** 1801947775
- **Authorized official:** KIM D EARNSHAW (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (610) 374-8009

## Contact information

- **Practice address:** 560 VAN REED RD, SUITE 202, WYOMISSING, PA 19610-1799
- **Practice address phone:** (610) 374-8009
- **Practice address fax:** (610) 374-5552
- **Mailing address:** 560 VAN REED RD, SUITE 202, WYOMISSING, PA 19610-1799
- **Mailing address phone:** (610) 374-8009
- **Mailing address fax:** (610) 374-5552

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/11/2008