Active NPIIndividual providerSole proprietor

Jennifer Mccormack, DMD

Dentist in Vineland, New Jersey

NPI Number1710134671
Practice location
319 W Landis Ave, Vineland, NJ 08360-8101
Fax
—
Last updated
February 16, 2012

Jennifer Mccormack is a Dentist based in Vineland, NJ. Jennifer Mccormack practices in Vineland, NJ and has the professional credentials of DMD. The NPI Number for Jennifer Mccormack is 1710134671 and holds a License No. 22DI02381100 (NJ). The current practice location address for Jennifer Mccormack is 319 W Landis Ave, Vineland, NJ 08360-8101 and can be reached out via phone at 856-691-3300.

Provider Profile Details

NPI Number
1710134671
Provider Name
Jennifer Mccormack
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
319 W Landis Ave, Vineland, NJ 08360-8101
Phone Number
856-691-3300
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2008
Last Update Date
February 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
319 W Landis Ave
Vineland, NJ 08360-8101
Zip
08360-8101
Phone Number
856-691-3300
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
Po Box 597
53 S Laurel St, 2ND Floor
Bridgeton, NJ 08302-0433
City
Bridgeton
State
NJ
Zip
08302-0433
Phone Number
856-451-4700

License Information

License Number
22DI02381100
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 Jennifer Mccormack, DMD?

The NPI number of Jennifer Mccormack, DMD is 1710134671. It was assigned on August 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Jennifer Mccormack, DMD?

Jennifer Mccormack, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02381100.

Where does Jennifer Mccormack, DMD practice?

The practice location is 319 W Landis Ave, Vineland, NJ 08360-8101. The office can be reached at 856-691-3300 (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 1710134671 directly on the NPPES registry website.

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