Active NPIIndividual provider

Dr. David R Edenbaum, DMD

Dentist, Periodontics in Marlton, New Jersey

NPI Number1033300272
Practice location
560 A Lippincott Drive, Bldg B, Marlton, NJ 08035
Fax
856-985-7170
Last updated
August 5, 2007

David R Edenbaum is a Dentist, Periodontics based in Marlton, NJ. David R Edenbaum practices in Marlton, NJ and has the professional credentials of DMD. The NPI Number for David R Edenbaum is 1033300272 and holds a License No. DI 17491 (NJ). The current practice location address for David R Edenbaum is 560 A Lippincott Drive, Bldg B, Marlton, NJ 08035 and can be reached out via phone at 856-985-1800 and via fax at 856-985-7170.

Provider Profile Details

NPI Number
1033300272
Provider Name
David R Edenbaum
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
560 A Lippincott Drive, Bldg B, Marlton, NJ 08035
Phone Number
856-985-1800
Fax Number
856-985-7170
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2007
Last Update Date
August 5, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
560 A Lippincott Drive
Bldg B
Marlton, NJ 08035
Zip
08035
Phone Number
856-985-1800
Fax Number
856-985-7170
Marlton, NJ 08035Get directions →

Provider Business Mailing Address Details

Address
560 A Lippincott Drive
Bldg B
Marlton, NJ 08035
City
Marlton
State
NJ
Zip
08035
Phone Number
856-985-1800
Fax Number
856-985-7170

License Information

License Number
DI 17491
License State
NJ
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. David R Edenbaum, DMD?

The NPI number of Dr. David R Edenbaum, DMD is 1033300272. It was assigned on August 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. David R Edenbaum, DMD?

Dr. David R Edenbaum, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number DI 17491.

Where does Dr. David R Edenbaum, DMD practice?

The practice location is 560 A Lippincott Drive, Bldg B, Marlton, NJ 08035. The office can be reached at 856-985-1800 (phone) or 856-985-7170 (fax).

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 1033300272 directly on the NPPES registry website.

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