Active NPIOrganization

Pediatric Dentistry Of South Jersey, P.c.

Dentist, Pediatric Dentistry in Vineland, New Jersey

NPI Number1104009943
Practice location
3071 E Chestnut Ave, Suite D-10, Vineland, NJ 08361-7847
Fax
856-205-1633
Last updated
December 16, 2007

Pediatric Dentistry Of South Jersey, P.c. is a healthcare organization based in Vineland, NJ. Pediatric Dentistry Of South Jersey, P.c. practices in Vineland, NJ. The NPI Number for Pediatric Dentistry Of South Jersey, P.c. is 1104009943 and holds a License No. DI16646 (NJ). The current practice location address for Pediatric Dentistry Of South Jersey, P.c. is 3071 E Chestnut Ave, Suite D-10, Vineland, NJ 08361-7847 and can be reached out via phone at 856-205-0099 and via fax at 856-205-1633.

Provider Profile Details

NPI Number
1104009943
Provider Name
Pediatric Dentistry Of South Jersey, P.c.
Provider Entity Type
Organization
Address
3071 E Chestnut Ave, Suite D-10, Vineland, NJ 08361-7847
Phone Number
856-205-0099
Fax Number
856-205-1633
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. William R Beck, DMD · Owner · 856-205-0099
Provider Enumeration Date
December 16, 2007
Last Update Date
December 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3071 E Chestnut Ave
Suite D-10
Vineland, NJ 08361-7847
Zip
08361-7847
Phone Number
856-205-0099
Fax Number
856-205-1633
Vineland, NJ 08361Get directions →

Provider Business Mailing Address Details

Address
3071 E Chestnut Ave
Suite D-10
Vineland, NJ 08361-7847
City
Vineland
State
NJ
Zip
08361-7847
Phone Number
856-205-0099
Fax Number
856-205-1633

License Information

License Number
DI16646
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Pediatric Dentistry Of South Jersey, P.c.?

The NPI number of Pediatric Dentistry Of South Jersey, P.c. is 1104009943. It was assigned on December 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Pediatric Dentistry Of South Jersey, P.c.?

Pediatric Dentistry Of South Jersey, P.c. is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number DI16646.

Where does Pediatric Dentistry Of South Jersey, P.c. practice?

The practice location is 3071 E Chestnut Ave, Suite D-10, Vineland, NJ 08361-7847. The office can be reached at 856-205-0099 (phone) or 856-205-1633 (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 1104009943 directly on the NPPES registry website.

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