Eastern Dental Of Vineland, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Vineland, New Jersey
1033236625- Practice location
- 1145 E Chestnut Ave, Vineland, NJ 08360-5001
- Phone
- 856-692-5400
- Fax
- —
- Last updated
- September 11, 2025
Eastern Dental Of Vineland, LLC is a healthcare organization based in Vineland, NJ. Eastern Dental Of Vineland, LLC practices in Vineland, NJ. The NPI Number for Eastern Dental Of Vineland, LLC is 1033236625 and holds a License No. 22761 (NJ). The current practice location address for Eastern Dental Of Vineland, LLC is 1145 E Chestnut Ave, Vineland, NJ 08360-5001 and can be reached out via phone at 856-692-5400.
Provider Profile Details
- NPI Number
- 1033236625
- Provider Name
- Eastern Dental Of Vineland, LLC
- Provider Entity Type
- Organization
- Address
- 1145 E Chestnut Ave, Vineland, NJ 08360-5001
- Phone Number
- 856-692-5400
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Bundy, DMD · Director · 856-692-5400
- Provider Enumeration Date
- March 26, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1145 E Chestnut Ave
Vineland, NJ 08360-5001 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-5001
- Phone Number
- 856-692-5400
Provider Business Mailing Address Details
- Address
- 1030 Saint Georges Ave
Avenel, NJ 07001-1390 - City
- Avenel
- State
- NJ
- Zip
- 07001-1390
License Information
- License Number (1)
- 22761
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 09460
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X
- License Number (3)
- 07879
- License State (3)
- NJ
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (4)
- 23068
- License State (4)
- NJ
- Taxonomy (4)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eastern Dental Of Vineland, LLC?
The NPI number of Eastern Dental Of Vineland, LLC is 1033236625. It was assigned on March 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Eastern Dental Of Vineland, LLC?
Eastern Dental Of Vineland, LLC is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22761.
Where does Eastern Dental Of Vineland, LLC practice?
The practice location is 1145 E Chestnut Ave, Vineland, NJ 08360-5001. The office can be reached at 856-692-5400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033236625 directly on the NPPES registry website.