Organization
BERKSHIRE DENTAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN SHUTTLESWORTH D.D.S. (OWNER)
(610) 376-3210
Entity
Organization
Contact information
Practice address
1260 BROADCASTING RD, SUITE 100, WYOMISSING, PA 19610-3223
(610) 376-3210
(610) 376-2140
Mailing address
1260 BROADCASTING RD, SUITE 100, WYOMISSING, PA 19610-3223
(610) 376-3210
(610) 376-2140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025949L
PA
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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