Active NPI
Christopher J Connolly DMD,PA
- General Practice Dentistry
- Sewell, NJ
National Provider Identifier
1003083049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI01228000
- Legal business name
- CHRISTOPHER J CONNOLLY DMD,PA
- Practice address
- 379 Egg Harbor Rd
Sewell, NJ 08080-1853 - Phone
- (856) 582-0090
- Fax
- (856) 582-5747
- NPI assigned
- May 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher James Connolly, DMD
- Title
- Owner/Doctor
- Phone
- (856) 582-0090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01228000 | NJ | Primary |
Addresses
Primary practice location
379 Egg Harbor Rd
Sewell, NJ 08080-1853
Mailing address
379 Egg Harbor Rd
Sewell, NJ 08080-1853
Phone (856) 582-0090
National Provider Directory
National Provider DirectoryLocations
379 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 582-0090
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Sewell, NJ
- NPI 1720134455
-
- General Practice Dentistry
- Sewell, NJ
- NPI 1902079684
-
- Dentist
- Sewell, NJ
- NPI 1225200249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482796800000",
"number": "1003083049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801853",
"telephone_number": "856-582-0090",
"fax_number": "856-582-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801853",
"telephone_number": "856-582-0090",
"fax_number": "856-582-5747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER J CONNOLLY DMD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-09",
"last_updated": "2016-12-27",
"status": "A",
"authorized_official_last_name": "CONNOLLY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "856-582-0090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI01228000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.