Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Conshohocken Dental Group, LLC

General Practice Dentistry in Conshohocken, PA · enumerated 2011 · authorized official Wansuk Seo, President.

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

National Provider Identifier

1619260155

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Registry record

Entity type Organization (Type 2)

Legal business name Conshohocken Dental Group, LLC

Practice address 200 W Ridge Pike, Suite #129, Conshohocken, PA, 19428

Phone (610) 828-3535

Fax (610) 828-3558

Enumeration date May 17, 2011

Last updated in NPPES May 17, 2011

Taxonomy & classification

122300000X Dentist Dental Providers · License DS038105 (PA) Secondary

1223G0001X General Practice Dentistry Dental Providers · License DS036612 (PA) Primary

1223P0300X Periodontics Dental Providers · License DS035484 (PA) Secondary

Authorized official

Name Wansuk Seo

Title President

Phone (610) 828-3535

Other identifiers

Identifier	Type	State	Issuer
102564482	Medicaid	PA	-

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-17. Verify at npiregistry.cms.hhs.gov.

Where is Conshohocken Dental Group, LLC located?

The practice location on file with NPPES is in Conshohocken, PA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-17.