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PEDIATRIC DENTAL ASSOCIATES OF SOUTH JERSEY PA NPI 1972532158


NPI Information

NPI: 1972532158
Provider Name: PEDIATRIC DENTAL ASSOCIATES OF SOUTH JERSEY, PA

Other Name: PEDIATRIC DENTAL ASSOCIATES

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
401 KINGS HWY S
4B
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 429-2225
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PEDIATRIC DENTAL ASSOCIATES OF SOUTH JERSEY, PA is a pediatric dentistry dentist in Cherry Hill, NJ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTAL ASSOCIATES OF SOUTH JERSEY, PA NPI is 1972532158. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Pediatric Dental Associates.

The provider's business location address is:

401 KINGS HWY S
4B
CHERRY HILL, NJ
ZIP 08034-500
Phone: (856) 429-2225

The provider's authorized official is Robert P Gersh .
The authorized official title is Partner/dentist and has the following contact phone number (856) 429-2225.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.


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
11223P0221XDentistPediatric DentistryNJ21760NEW JERSEYNo
21223P0221XDentistPediatric DentistryNJ8986NEW JERSEYYes

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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