- Practice location
- 2000 Clements Bridge RD, Suite 117 A, Deptford, NJ 08096-2011
- Phone
- 856-848-6006
- Fax
- 856-848-6969
- Last updated
- February 5, 2009
Deptford Family Dental PA is a healthcare organization based in Deptford, NJ. Deptford Family Dental PA practices in Deptford, NJ. The NPI Number for Deptford Family Dental PA is 1528207198 and holds a License No. 22DI017432 (NJ). The current practice location address for Deptford Family Dental PA is 2000 Clements Bridge RD, Suite 117 A, Deptford, NJ 08096-2011 and can be reached out via phone at 856-848-6006 and via fax at 856-848-6969.
Provider Profile Details
- NPI Number
- 1528207198
- Provider Name
- Deptford Family Dental PA
- Provider Entity Type
- Organization
- Address
- 2000 Clements Bridge RD, Suite 117 A, Deptford, NJ 08096-2011
- Phone Number
- 856-848-6006
- Fax Number
- 856-848-6969
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Edward Poller, DDS · President · 732-914-1039
- Provider Enumeration Date
- February 5, 2009
- Last Update Date
- February 5, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2000 Clements Bridge RD
Suite 117 A
Deptford, NJ 08096-2011 - City
- Deptford
- State
- New Jersey
- Zip
- 08096-2011
- Phone Number
- 856-848-6006
- Fax Number
- 856-848-6969
Provider Business Mailing Address Details
- Address
- 2000 Clements Bridge RD
Suite 117 A
Deptford, NJ 08096-2011 - City
- Deptford
- State
- NJ
- Zip
- 08096-2011
- Phone Number
- 856-848-6006
- Fax Number
- 856-848-6969
License Information
- License Number
- 22DI017432
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Deptford, NJ
View all Dentists in Deptford →Frequently Asked Questions
What is the NPI number of Deptford Family Dental PA?
The NPI number of Deptford Family Dental PA is 1528207198. It was assigned on February 5, 2009 and is currently active in the NPPES registry.
What is the specialty of Deptford Family Dental PA?
Deptford Family Dental PA is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI017432.
Where does Deptford Family Dental PA practice?
The practice location is 2000 Clements Bridge RD, Suite 117 A, Deptford, NJ 08096-2011. The office can be reached at 856-848-6006 (phone) or 856-848-6969 (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 1528207198 directly on the NPPES registry website.