SOUTH JERSEY DENTAL SLEEP CENTER LLC NPI 1497101430

NPI Information

NPI: 1497101430
Provider Name: SOUTH JERSEY DENTAL SLEEP CENTER LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 31D2149450

Address:
76 N MAIN ST
MEDFORD, NJ
ZIP 08055
Phone: (609) 953-7199
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SOUTH JERSEY DENTAL SLEEP CENTER LLC is a dental clinic center in Medford, NJ. SOUTH JERSEY DENTAL SLEEP CENTER LLC NPI is 1497101430. The provider is registered as an organization entity type.

The provider's business location address is:

76 N MAIN ST
MEDFORD, NJ
ZIP 08055-720
Phone: (609) 953-7199
Fax: (609) 953-0314

The provider's authorized official is Ken Hoover .
The authorized official title is Owner and has the following contact phone number (609) 953-7199.

The CLIA number assigned to this NPI record is 31D2149450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2016 and was last updated on 5/9/2016.

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
1	261QD0000X	Clinic/Center	Dental	DI01615200	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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