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EASTERN DENTAL OF VINELAND LLC NPI 1033236625


NPI Information

NPI: 1033236625
Provider Name: EASTERN DENTAL OF VINELAND, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1145 E CHESTNUT AVE
VINELAND, NJ
ZIP 08360
Phone: (856) 692-5400
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EASTERN DENTAL OF VINELAND, LLC is a general practice dentist in Vineland, 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. EASTERN DENTAL OF VINELAND, LLC NPI is 1033236625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1145 E CHESTNUT AVE
VINELAND, NJ
ZIP 08360-001
Phone: (856) 692-5400

The provider's authorized official is Michael Bundy .
The authorized official title is Director and has the following contact phone number (856) 692-5400.

The enumeration date for this NPI number is 3/26/2007 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
11223G0001XDentistGeneral Practice22761NEW JERSEYYes
21223P0300XDentistPeriodontics09460NEW JERSEYX
31223S0112XDentistOral and Maxillofacial Surgery07879NEW JERSEYX
41223X0400XDentistOrthodontics and Dentofacial Orthopedics23068NEW JERSEYX

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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