MEDICARE: JW DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1750272332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JW DENTAL

Provider Business Mailing Address
First Line	:	420 SCHUYLKILL RD STE 300
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-5218
Country	:	US
Telephone Number	:	610-422-7277
Fax Number	:	610-422-7278

Provider Business Practice Location Address
First Line	:	420 SCHUYLKILL RD STE 300
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-5218
Country	:	US
Telephone Number	:	610-422-7277
Fax Number	:	610-422-7278

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JUNG WON SEO
Credential	:	DMD
Telephone Number	:	610-422-7277

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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Directions to “JW DENTAL ” Practice Location

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