Super Smiles Dentistry For Children, PC
Dentist, Pediatric Dentistry in Willingboro, New Jersey
1275937872- Practice location
- 77 Garland Ln, Willingboro, NJ 08046-3011
- Phone
- 609-880-1500
- Fax
- —
- Last updated
- October 10, 2014
Super Smiles Dentistry For Children, PC is a healthcare organization based in Willingboro, NJ. Super Smiles Dentistry For Children, PC practices in Willingboro, NJ. The NPI Number for Super Smiles Dentistry For Children, PC is 1275937872 and holds a License No. 22DI02292500 (NJ). The current practice location address for Super Smiles Dentistry For Children, PC is 77 Garland Ln, Willingboro, NJ 08046-3011 and can be reached out via phone at 609-880-1500.
Provider Profile Details
- NPI Number
- 1275937872
- Provider Name
- Super Smiles Dentistry For Children, PC
- Provider Entity Type
- Organization
- Address
- 77 Garland Ln, Willingboro, NJ 08046-3011
- Phone Number
- 609-880-1500
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Howard J. Pactovis, DMD · Owner · 609-880-1500
- Provider Enumeration Date
- October 10, 2014
- Last Update Date
- October 10, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Garland Ln
Willingboro, NJ 08046-3011 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-3011
- Phone Number
- 609-880-1500
Provider Business Mailing Address Details
- Address
- 1221 N Church St
Moorestown, NJ 08057-1245 - City
- Moorestown
- State
- NJ
- Zip
- 08057-1245
- Phone Number
- 609-880-1500
- Fax Number
- 609-880-0091
License Information
- License Number
- 22DI02292500
- License State
- NJ
- Taxonomy
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Super Smiles Dentistry For Children, PC?
The NPI number of Super Smiles Dentistry For Children, PC is 1275937872. It was assigned on October 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Super Smiles Dentistry For Children, PC?
Super Smiles Dentistry For Children, PC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02292500.
Where does Super Smiles Dentistry For Children, PC practice?
The practice location is 77 Garland Ln, Willingboro, NJ 08046-3011. The office can be reached at 609-880-1500 (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 1275937872 directly on the NPPES registry website.