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Stacey A Yandoli, DMD
Pediatric Dentist in West Deptford, New Jersey
NPI 1407873466

Stacey A Yandoli is a Pediatric Dentist based in West Deptford, NJ and is specialized in Pediatric Dentistry. Stacey A Yandoli practices in West Deptford, NJ and has the professional credentials of DMD. The NPI Number for Stacey A Yandoli is 1407873466 and holds a License No. 2254200 (New Jersey).

The current practice location address for Stacey A Yandoli is 776 Grove Rd, West Deptford, NJ and can be reached out via phone at 856-848-2211 and via fax at 856-848-8630.

Location: 776 Grove Rd, West Deptford, NJ, 08086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407873466
Provider Name
Stacey A Yandoli
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
776 Grove Rd, West Deptford, NJ, 08086
Phone Number
856-848-2211
Fax Number
856-848-8630
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0109193 05 NJ
institution
Provider Business Practice Location Address Details
Address
776 Grove Rd
City
West Deptford
State
New Jersey
Zip
08086
Phone Number
856-848-2211
Fax Number
856-848-8630
person
Provider Business Mailing Address Details
Address
776 Grove Rd
City
West Deptford
State
New Jersey
Zip
08086
Phone Number
856-848-2211
Fax Number
856-848-8630
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2254200 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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