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MEDFORD CHILDREN'S DENTAL CENTER PC NPI 1114200912


NPI Information

NPI: 1114200912
Provider Name: MEDFORD CHILDREN'S DENTAL CENTER, PC

Doing Business As: A-OK CHILDREN'S DENTISTRY, PC

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
520 STOKES RD
SUITE B 18
MEDFORD, NJ
ZIP 08055
Phone: (609) 654-1141
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MEDFORD CHILDREN'S DENTAL CENTER, PC is a pediatric dentistry dentist in Medford, 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. MEDFORD CHILDREN'S DENTAL CENTER, PC NPI is 1114200912. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As A-ok Children's Dentistry, Pc.

The provider's business location address is:

520 STOKES RD
SUITE B 18
MEDFORD, NJ
ZIP 08055-904
Phone: (609) 654-1141

The provider's authorized official is George Dierna .
The authorized official title is Owner and has the following contact phone number (609) 654-1141.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 10/26/2011.


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
11223P0221XDentistPediatric DentistryYes

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: 5/5/2024

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