Active NPIOrganization

Brilliant Smiles Dental Group - Magnolia LLC

Dentist in Magnolia, New Jersey

NPI Number1538455324
Practice location
402 White Horse Pike S, Magnolia, NJ 08049-1061
Fax
—
Last updated
June 21, 2011

Brilliant Smiles Dental Group - Magnolia LLC is a healthcare organization based in Magnolia, NJ. Brilliant Smiles Dental Group - Magnolia LLC practices in Magnolia, NJ. The NPI Number for Brilliant Smiles Dental Group - Magnolia LLC is 1538455324 and holds a License No. DI02244000 (NJ). The current practice location address for Brilliant Smiles Dental Group - Magnolia LLC is 402 White Horse Pike S, Magnolia, NJ 08049-1061 and can be reached out via phone at 856-566-9700.

Provider Profile Details

NPI Number
1538455324
Provider Name
Brilliant Smiles Dental Group - Magnolia LLC
Provider Entity Type
Organization
Address
402 White Horse Pike S, Magnolia, NJ 08049-1061
Phone Number
856-566-9700
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Michelle Aitken, DDS · Owner · 856-566-9700
Other Names
Hometown Family Dental (Doing Business As)
Provider Enumeration Date
June 21, 2011
Last Update Date
June 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
402 White Horse Pike S
Magnolia, NJ 08049-1061
Zip
08049-1061
Phone Number
856-566-9700
Magnolia, NJ 08049Get directions →

Provider Business Mailing Address Details

Address
402 White Horse Pike S
Magnolia, NJ 08049-1061
City
Magnolia
State
NJ
Zip
08049-1061

License Information

License Number
DI02244000
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Brilliant Smiles Dental Group - Magnolia LLC?

The NPI number of Brilliant Smiles Dental Group - Magnolia LLC is 1538455324. It was assigned on June 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Brilliant Smiles Dental Group - Magnolia LLC?

Brilliant Smiles Dental Group - Magnolia LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI02244000.

Where does Brilliant Smiles Dental Group - Magnolia LLC practice?

The practice location is 402 White Horse Pike S, Magnolia, NJ 08049-1061. The office can be reached at 856-566-9700 (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 1538455324 directly on the NPPES registry website.

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