Advanced Dental Of Woolwich
Dentist, Pediatric Dentistry in Woolwich, New Jersey
1144595356- Practice location
- 1630 Rt 322, Suite F, Woolwich, NJ 08085
- Phone
- 856-832-4480
- 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 - City
- Woolwich
- State
- New Jersey
- Zip
- 08085
- Phone Number
- 856-832-4480
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Woolwich, NJ
View all Dentist, Pediatric Dentistry providers in Woolwich →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.