Active NPIOrganization

South Jersey Pediatric Dental, LLC

Dentist, Pediatric Dentistry in Vineland, New Jersey

NPI Number1598199101
Practice location
2550 S Main RD, Vineland, NJ 08360-7138
Fax
856-213-4401
Last updated
May 6, 2022

South Jersey Pediatric Dental, LLC is a healthcare organization based in Vineland, NJ. South Jersey Pediatric Dental, LLC practices in Vineland, NJ. The NPI Number for South Jersey Pediatric Dental, LLC is 1598199101. The current practice location address for South Jersey Pediatric Dental, LLC is 2550 S Main RD, Vineland, NJ 08360-7138 and can be reached out via phone at 856-213-4400 and via fax at 856-213-4401.

Provider Profile Details

NPI Number
1598199101
Provider Name
South Jersey Pediatric Dental, LLC
Provider Entity Type
Organization
Address
2550 S Main RD, Vineland, NJ 08360-7138
Phone Number
856-213-4400
Fax Number
856-213-4401
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Brendaliz Bristol Martir, DMD · Pediatric Dentist · 856-839-7019
Provider Enumeration Date
August 30, 2013
Last Update Date
May 6, 2022
Certification Date
May 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2550 S Main RD
Vineland, NJ 08360-7138
Zip
08360-7138
Phone Number
856-213-4400
Fax Number
856-213-4401
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
2550 S Main RD
Vineland, NJ 08360-7138
City
Vineland
State
NJ
Zip
08360-7138
Phone Number
856-213-4400
Fax Number
856-213-4401

License Information

Taxonomy (1)
Dentist, General Practice · 1223G0001X
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · 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 South Jersey Pediatric Dental, LLC?

The NPI number of South Jersey Pediatric Dental, LLC is 1598199101. It was assigned on August 30, 2013 and is currently active in the NPPES registry.

What is the specialty of South Jersey Pediatric Dental, LLC?

South Jersey Pediatric Dental, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does South Jersey Pediatric Dental, LLC practice?

The practice location is 2550 S Main RD, Vineland, NJ 08360-7138. The office can be reached at 856-213-4400 (phone) or 856-213-4401 (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 1598199101 directly on the NPPES registry website.

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