Active NPIOrganization

Woodbine Dental PA

Dentist in Woodbine, New Jersey

NPI Number1700919594
Practice location
901 Dehirsch Avenue, Woodbine, NJ 08270
Fax
609-861-3160
Last updated
August 22, 2020

Woodbine Dental PA is a healthcare organization based in Woodbine, NJ. Woodbine Dental PA practices in Woodbine, NJ. The NPI Number for Woodbine Dental PA is 1700919594 and holds a License No. 22DI00879400 (NJ). The current practice location address for Woodbine Dental PA is 901 Dehirsch Avenue, Woodbine, NJ 08270 and can be reached out via phone at 609-861-2784 and via fax at 609-861-3160.

Provider Profile Details

NPI Number
1700919594
Provider Name
Woodbine Dental PA
Provider Entity Type
Organization
Address
901 Dehirsch Avenue, Woodbine, NJ 08270
Phone Number
609-861-2784
Fax Number
609-861-3160
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Jacques Nathan, DDS · Dentist President · 609-861-2784
Provider Enumeration Date
March 13, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
901 Dehirsch Avenue
Woodbine, NJ 08270
Zip
08270
Phone Number
609-861-2784
Fax Number
609-861-3160
Woodbine, NJ 08270Get directions →

Provider Business Mailing Address Details

Address
901 Dehirsch Avenue
Woodbine, NJ 08270
City
Woodbine
State
NJ
Zip
08270
Phone Number
609-861-2784
Fax Number
609-861-3160

License Information

License Number (1)
22DI00879400
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI01862600
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X
License Number (3)
22DI01877400
License State (3)
NJ
Taxonomy (3)
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 Woodbine Dental PA?

The NPI number of Woodbine Dental PA is 1700919594. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Woodbine Dental PA?

Woodbine Dental PA is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI00879400.

Where does Woodbine Dental PA practice?

The practice location is 901 Dehirsch Avenue, Woodbine, NJ 08270. The office can be reached at 609-861-2784 (phone) or 609-861-3160 (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 1700919594 directly on the NPPES registry website.

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