Braden Dental Of South Jersey PC
Dentist, General Practice in West Deptford, New Jersey
1700046216- Practice location
- 640 Kings Hwy, West Deptford, NJ 08096-3145
- Phone
- 856-845-4225
- Fax
- 856-845-4221
- Last updated
- May 21, 2024
Braden Dental Of South Jersey PC is a healthcare organization based in West Deptford, NJ. Braden Dental Of South Jersey PC practices in West Deptford, NJ. The NPI Number for Braden Dental Of South Jersey PC is 1700046216 and holds a License No. 22DI02152700 (NJ). The current practice location address for Braden Dental Of South Jersey PC is 640 Kings Hwy, West Deptford, NJ 08096-3145 and can be reached out via phone at 856-845-4225 and via fax at 856-845-4221.
Provider Profile Details
- NPI Number
- 1700046216
- Provider Name
- Braden Dental Of South Jersey PC
- Provider Entity Type
- Organization
- Address
- 640 Kings Hwy, West Deptford, NJ 08096-3145
- Phone Number
- 856-845-4225
- Fax Number
- 856-845-4221
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- Yes
- Parent Organization
- Braden Dental Of South Jersey PC
- Authorized Official
- Dr. Douglas Sherly, DMD · President · 609-560-5902
- Other Names
- Dentistry Of South Jersey - West Deptford (Doing Business As)
- Provider Enumeration Date
- June 10, 2008
- Last Update Date
- May 21, 2024
- Certification Date
- May 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 640 Kings Hwy
West Deptford, NJ 08096-3145 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096-3145
- Phone Number
- 856-845-4225
- Fax Number
- 856-845-4221
Provider Business Mailing Address Details
- Address
- 640 Kings Hwy
West Deptford, NJ 08096-3145 - City
- West Deptford
- State
- NJ
- Zip
- 08096-3145
- Phone Number
- 856-845-4225
- Fax Number
- 856-845-4221
License Information
- License Number
- 22DI02152700
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near West Deptford, NJ
View all Dentist, General Practice providers in West Deptford →Frequently Asked Questions
What is the NPI number of Braden Dental Of South Jersey PC?
The NPI number of Braden Dental Of South Jersey PC is 1700046216. It was assigned on June 10, 2008 and is currently active in the NPPES registry.
What is the specialty of Braden Dental Of South Jersey PC?
Braden Dental Of South Jersey PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02152700.
Where does Braden Dental Of South Jersey PC practice?
The practice location is 640 Kings Hwy, West Deptford, NJ 08096-3145. The office can be reached at 856-845-4225 (phone) or 856-845-4221 (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 1700046216 directly on the NPPES registry website.