Active NPIOrganization

Advanced Dental Of Woolwich

Dentist, Pediatric Dentistry in Woolwich, New Jersey

NPI Number1144595356
Practice location
1630 Rt 322, Suite F, Woolwich, NJ 08085
Fax
—
Last updated
March 21, 2012

Advanced Dental Of Woolwich is a healthcare organization based in Woolwich, NJ. Advanced Dental Of Woolwich practices in Woolwich, NJ. The NPI Number for Advanced Dental Of Woolwich is 1144595356 and holds a License No. 22DIO2196800 (NJ). The current practice location address for Advanced Dental Of Woolwich is 1630 Rt 322, Suite F, Woolwich, NJ 08085 and can be reached out via phone at 856-832-4480.

Provider Profile Details

NPI Number
1144595356
Provider Name
Advanced Dental Of Woolwich
Provider Entity Type
Organization
Address
1630 Rt 322, Suite F, Woolwich, NJ 08085
Phone Number
856-832-4480
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Laderrick Bullock · Owner · 856-832-4480
Provider Enumeration Date
March 21, 2012
Last Update Date
March 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1630 Rt 322
Suite F
Woolwich, NJ 08085
Zip
08085
Phone Number
856-832-4480
Woolwich, NJ 08085Get directions →

Provider Business Mailing Address Details

Address
1630 Rt 322
Suite F
Woolwich, NJ 08085
City
Woolwich
State
NJ
Zip
08085
Phone Number
856-832-4480

License Information

License Number (1)
22DIO2196800
License State (1)
NJ
Taxonomy (1)
Dentist, Prosthodontics · 1223P0700X
License Number (2)
22DIO2146400
License State (2)
NJ
Taxonomy (2)
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 Advanced Dental Of Woolwich?

The NPI number of Advanced Dental Of Woolwich is 1144595356. It was assigned on March 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Advanced Dental Of Woolwich?

Advanced Dental Of Woolwich is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DIO2196800.

Where does Advanced Dental Of Woolwich practice?

The practice location is 1630 Rt 322, Suite F, Woolwich, NJ 08085. The office can be reached at 856-832-4480 (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 1144595356 directly on the NPPES registry website.

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