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Williamsburg Dental of Pennsylvania, P.C.

General Practice Dentistry in Broomall, PA · enumerated 2025 · authorized official Ty Justice, Director, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558171876

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Registry record

Entity type Organization (Type 2)
Legal business name Williamsburg Dental of Pennsylvania, P.C.
Practice address 601 Williamsburg Dr, Broomall, PA, 19008
Phone (610) 353-2700
Fax (610) 353-5530
Enumeration date Jan 9, 2025
Last updated in NPPES Jan 9, 2025

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Ty Justice
Title Director, Credentialing
Phone (513) 808-4984

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Williamsburg Dental of Pennsylvania, P.C.?
The NPI for Williamsburg Dental of Pennsylvania, P.C. is 1558171876, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Williamsburg Dental of Pennsylvania, P.C.?
NPPES lists Ty Justice (Director, Credentialing) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-09.