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ADDIEGO FAMILY DENTAL LLC NPI 1821412800


NPI Information

NPI: 1821412800
Provider Name: ADDIEGO FAMILY DENTAL LLC

Doing Business As: CEDAR CREEK DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
950 ATLANTIC CITY BLVD
SUITE 13
BAYVILLE, NJ
ZIP 08721
Phone: (732) 269-1046
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ADDIEGO FAMILY DENTAL LLC is a general practice dentist in Bayville, 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. ADDIEGO FAMILY DENTAL LLC NPI is 1821412800. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Cedar Creek Dental.

The provider's business location address is:

950 ATLANTIC CITY BLVD
SUITE 13
BAYVILLE, NJ
ZIP 08721-564
Phone: (732) 269-1046

The provider's authorized official is Jessica Kim Bramlette .
The authorized official title is Owner and has the following contact phone number (609) 489-3360.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 2/11/2014.


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 Practice22DI02328300NEW JERSEYNo
21223G0001XDentistGeneral Practice22DI00971000NEW JERSEYNo
31223G0001XDentistGeneral Practice22DI02107800NEW 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: 4/28/2024

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