Active NPIOrganization

Acorn Dental Associates

Dentist, Periodontics in Marlton, New Jersey

NPI Number1306964226
Practice location
100 Centre Blvd, Suite J, Marlton, NJ 08053-4128
Fax
856-983-3356
Last updated
September 11, 2025

Acorn Dental Associates is a healthcare organization based in Marlton, NJ. Acorn Dental Associates practices in Marlton, NJ. The NPI Number for Acorn Dental Associates is 1306964226 and holds a License No. 22DI00903200 (NJ). The current practice location address for Acorn Dental Associates is 100 Centre Blvd, Suite J, Marlton, NJ 08053-4128 and can be reached out via phone at 856-983-0060 and via fax at 856-983-3356.

Provider Profile Details

NPI Number
1306964226
Provider Name
Acorn Dental Associates
Provider Entity Type
Organization
Address
100 Centre Blvd, Suite J, Marlton, NJ 08053-4128
Phone Number
856-983-0060
Fax Number
856-983-3356
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Frederick R Van Istendal, DDS · President · 856-983-0060
Provider Enumeration Date
March 27, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Centre Blvd
Suite J
Marlton, NJ 08053-4128
Zip
08053-4128
Phone Number
856-983-0060
Fax Number
856-983-3356
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
100 Centre Blvd
Suite J
Marlton, NJ 08053-4128
City
Marlton
State
NJ
Zip
08053-4128
Phone Number
856-983-0060
Fax Number
856-983-3356

License Information

License Number (1)
22DI00903200
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI01122502
License State (2)
NJ
License Number (3)
22DI01834400
License State (3)
NJ
Taxonomy (3)
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 Acorn Dental Associates?

The NPI number of Acorn Dental Associates is 1306964226. It was assigned on March 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Acorn Dental Associates?

Acorn Dental Associates is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 22DI00903200.

Where does Acorn Dental Associates practice?

The practice location is 100 Centre Blvd, Suite J, Marlton, NJ 08053-4128. The office can be reached at 856-983-0060 (phone) or 856-983-3356 (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 1306964226 directly on the NPPES registry website.

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