DENTRUST DENTAL P.A. NPI 1023724044

NPI Information

  • NPI: 1023724044
  • Provider Name: DENTRUST DENTAL, P.A.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3452 BRODY AVE
    FT. DIX, NJ
    ZIP 08640
  • Phone: (609) 342-6467

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NPI Details

DENTRUST DENTAL, P.A. is a general practice dentist in Ft. Dix, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTRUST DENTAL, P.A. NPI is 1023724044. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3452 BRODY AVE
FT. DIX, NJ
ZIP 08640
Phone: (609) 342-6467

The provider's authorized official is Amanda A Clark .
The authorized official title is Director Of Credentialing and has the following contact phone number (609) 342-6467.

The enumeration date for this NPI number is 1/24/2023 and was last updated on 1/24/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122D101759200OTHERNEW JERSEYLICENSE NUMBER

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: 11/21/2025

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