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SOUTH JERSEY PROSTHODONTIC ASSOC. PA NPI 1174697973


NPI Information

NPI: 1174697973
Provider Name: SOUTH JERSEY PROSTHODONTIC ASSOC. PA
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1793 SPRINGDALE RD
CHERRY HILL, NJ
ZIP 08003
Phone: (856) 424-7177
Get Directions

SOUTH JERSEY PROSTHODONTIC ASSOC. PA is a prosthodontics dentist in Cherry Hill, NJ. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. SOUTH JERSEY PROSTHODONTIC ASSOC. PA NPI is 1174697973. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1793 SPRINGDALE RD
CHERRY HILL, NJ
ZIP 08003-136
Phone: (856) 424-7177
Fax: (856) 424-0896

The provider's authorized official is Stephen R Cohen .
The authorized official title is President and has the following contact phone number (856) 424-7177.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodonticsNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12965402MEDICAIDNEW JERSEY
2077832MEDICARE PINNEW JERSEY
30371110001MEDICARE NSCNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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