# SOUDERTON DENTAL COSMETIC CENTER, PC

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

## Provider details

- **NPI number:** 1811711526
- **Authorized official:** JAY PATEL DMD (OWNER)
- **Authorized official phone:** (973) 452-3190

## Contact information

- **Practice address:** 231 N MAIN ST, SOUDERTON, PA 18964-1605
- **Practice address phone:** (215) 723-3674
- **Mailing address:** 231 N MAIN ST, SOUDERTON, PA 18964-1605
- **Mailing address phone:** (215) 723-3674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2024
- **Last updated:** 02/15/2026