Healthcare Provider Details

I. General information

NPI: 1407767304
Provider Name (Legal Business Name): DWK DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 NUTT RD
PHOENIXVILLE PA
19460-3905
US

IV. Provider business mailing address

145 NUTT RD
PHOENIXVILLE PA
19460-3905
US

V. Phone/Fax

Practice location:
  • Phone: 610-933-3881
  • Fax: 610-933-9383
Mailing address:
  • Phone: 610-933-3881
  • Fax: 610-933-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHLEY NICOLE HOFFMAN
Title or Position: OWNER
Credential: RDH, PHDHP, EFDA
Phone: 610-955-9858