Active NPIIndividual provider

Dr. Amanda B Eidelson, DDS

Dentist, Endodontics in Cherry Hill, New Jersey

NPI Number1922393750
Practice location
303 Kings Hwy S Ste 6, Cherry Hill, NJ 08034-2579
Fax
856-429-7819
Last updated
January 13, 2020

Amanda Blair Eidelson is a Dentist, Endodontics based in Cherry Hill, NJ. Amanda Blair Eidelson practices in Cherry Hill, NJ and has the professional credentials of DDS. The NPI Number for Amanda Blair Eidelson is 1922393750 and holds a License No. 22DI02526300 (NJ). The current practice location address for Amanda Blair Eidelson is 303 Kings Hwy S Ste 6, Cherry Hill, NJ 08034-2579 and can be reached out via phone at 856-429-7811 and via fax at 856-429-7819.

Provider Profile Details

NPI Number
1922393750
Provider Name
Amanda Blair Eidelson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
303 Kings Hwy S Ste 6, Cherry Hill, NJ 08034-2579
Phone Number
856-429-7811
Fax Number
856-429-7819
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2011
Last Update Date
January 13, 2020
Certification Date
January 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
303 Kings Hwy S Ste 6
Cherry Hill, NJ 08034-2579
Zip
08034-2579
Phone Number
856-429-7811
Fax Number
856-429-7819
Cherry Hill, NJ 08034Get directions →

Provider Business Mailing Address Details

Address
303 Kings Hwy S Ste 6
Cherry Hill, NJ 08034-2579
City
Cherry Hill
State
NJ
Zip
08034-2579
Phone Number
856-429-7811
Fax Number
856-429-7811

License Information

License Number
22DI02526300
License State
NJ
Taxonomy
Dentist, Endodontics · 1223E0200X · 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 Dr. Amanda B Eidelson, DDS?

The NPI number of Dr. Amanda B Eidelson, DDS is 1922393750. It was assigned on June 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Amanda B Eidelson, DDS?

Dr. Amanda B Eidelson, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NJ under license number 22DI02526300.

Where does Dr. Amanda B Eidelson, DDS practice?

The practice location is 303 Kings Hwy S Ste 6, Cherry Hill, NJ 08034-2579. The office can be reached at 856-429-7811 (phone) or 856-429-7819 (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 1922393750 directly on the NPPES registry website.

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