MARLTON FAMILY DENTISTRY LLC NPI 1710491626

NPI Information

  • NPI: 1710491626
  • Provider Name: MARLTON FAMILY DENTISTRY LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: STATE OF THE ART SMILES
  • Address: 560A LIPPINCOTT DR BLDG B
    MARLTON, NJ
    ZIP 08053
  • Phone: (856) 985-1800

Map and Directions

Get Directions

NPI Details

MARLTON FAMILY DENTISTRY LLC is a dental clinic center in Marlton, NJ. MARLTON FAMILY DENTISTRY LLC NPI is 1710491626. The provider is registered as an organization entity type.
The provider Is Doing Business As State Of The Art Smiles.

The provider's business location address is:

560A LIPPINCOTT DR BLDG B
MARLTON, NJ
ZIP 08053
Phone: (856) 985-1800
Fax: (856) 985-7170

The provider's authorized official is Blake Entralgo .
The authorized official title is Owner and has the following contact phone number (281) 851-6064.

The enumeration date for this NPI number is 11/30/2017 and was last updated on 6/16/2018.

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
1261QD0000XClinic/CenterDental22DI02666400NEW 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.