OrganizationActive
Pennsylvania Dental Group Ltd.
NPI 1114054962 · General Practice Dentistry · Philadelphia, PA
Pennsylvania Dental Group Ltd. is a General Practice Dentistry organization in Philadelphia, PA (NPI 1114054962).
Provider details
- NPI number
- 1114054962
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- George Boudreau, President(215) 387-0883
- License
- DS18682L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3550 Market St
Philadelphia, PA 19104-3329
Phone: (215) 387-0883
Fax: (215) 387-9659
Street-level locationGet directions
Mailing address
3550 Market St
Philadelphia, PA 19104-3329
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pennsylvania Dental Group Ltd.'s NPI number?
- Pennsylvania Dental Group Ltd.'s National Provider Identifier (NPI) is 1114054962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennsylvania Dental Group Ltd.?
- Pennsylvania Dental Group Ltd. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pennsylvania Dental Group Ltd. located?
- Pennsylvania Dental Group Ltd.'s practice location on file with NPPES is 3550 Market St, Philadelphia, PA 19104-3329.
- What is Pennsylvania Dental Group Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Pennsylvania Dental Group Ltd. is (215) 387-0883.
- Who is the authorized official for Pennsylvania Dental Group Ltd.?
- The authorized official listed on Pennsylvania Dental Group Ltd.'s NPPES record is George Boudreau, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennsylvania Dental Group Ltd.'s NPI active?
- Yes — Pennsylvania Dental Group Ltd.'s NPI (1114054962) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.