Team Dental Swedesboro, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01454700 Issued in NJ

Legal business name

TEAM DENTAL SWEDESBORO, LLC

Practice address

300 Lexington Rd Ste 220
Swedesboro, NJ 08085-1278

Phone

(856) 467-4677

Fax

(856) 832-4173

NPI assigned

Feb 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Murtuza Jaffari, DDS

Title

Owner/Dentist

Phone

(856) 467-4677

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1013257880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD",
            "address_2": "BUILDING B, SUITE 220",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-467-4677",
            "fax_number": "856-832-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD STE 220",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-467-4677",
            "fax_number": "856-832-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM DENTAL SWEDESBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "JAFFARI",
        "authorized_official_first_name": "MURTUZA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "856-467-4677",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01454700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Speakman
• Nazirah Spence
• Sean Ross Sussman, DO
• Swedesboro Community Chiropractic, LLC
• Swedesboro Family Pharmacy LLC
• Team Hearing Swedesboro, LLC
• Susan Eileen Thomas
• Hannah Claire Ticho
• Kelly Tinsman, MS, CCC/SLP
• Vanessa Tortoreto, LCSW

• Dentist in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.