Active NPIIndividual providerSole proprietor

Jill T Beitz, DDS

Dentist in Pennsauken, New Jersey

NPI Number1922489970
Practice location
4608 Westfield Ave, Pennsauken, NJ 08110-3030
Fax
—
Last updated
October 10, 2016

Jill Therese Beitz is a Dentist based in Pennsauken, NJ. Jill Therese Beitz practices in Pennsauken, NJ and has the professional credentials of DDS. The NPI Number for Jill Therese Beitz is 1922489970 and holds a License No. DI02648200 (NJ). The current practice location address for Jill Therese Beitz is 4608 Westfield Ave, Pennsauken, NJ 08110-3030 and can be reached out via phone at 856-910-0400.

Provider Profile Details

NPI Number
1922489970
Provider Name
Jill Therese Beitz
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4608 Westfield Ave, Pennsauken, NJ 08110-3030
Phone Number
856-910-0400
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2015
Last Update Date
October 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
4608 Westfield Ave
Pennsauken, NJ 08110-3030
Zip
08110-3030
Phone Number
856-910-0400
Pennsauken, NJ 08110Get directions →

Provider Business Mailing Address Details

Address
6 Tendring RD
Cherry Hill, NJ 08003-2122
City
Cherry Hill
State
NJ
Zip
08003-2122
Phone Number
609-410-5207

License Information

License Number (1)
DI02648200
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
DI02648201
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X

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 Jill T Beitz, DDS?

The NPI number of Jill T Beitz, DDS is 1922489970. It was assigned on June 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Jill T Beitz, DDS?

Jill T Beitz, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI02648200.

Where does Jill T Beitz, DDS practice?

The practice location is 4608 Westfield Ave, Pennsauken, NJ 08110-3030. The office can be reached at 856-910-0400 (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 1922489970 directly on the NPPES registry website.

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