Organization
LIBERTY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA SINGH DMD (CEO)
(610) 933-7001
Entity
Organization
Contact information
Practice address
300 SCHUYLKILL RD, PHOENIXVILLE, PA 19460-5202
(610) 933-7001
(610) 983-9268
Mailing address
300 SCHUYLKILL RD, PHOENIXVILLE, PA 19460-5202
(610) 933-7001
(610) 983-9268
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DS026806L
PA
1223G0001X
General Practice Dentistry
Primary
DS026473L
PA
1223G0001X
General Practice Dentistry
DS037032
PA
1223P0300X
Periodontics
DS027974L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS027665L
PA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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