New Albany Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NEW ALBANY PEDIATRIC DENTISTRY LLC

Practice address

9 E Main St Ste C
Moorestown, NJ 08057-3382

Phone

(856) 206-9255

Fax

(856) 206-9254

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

E. A. Stranquist

Title

Director of Operations

Phone

(856) 206-9255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1033518121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST STE C",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573382",
            "telephone_number": "856-206-9255",
            "fax_number": "856-206-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST STE C",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573382",
            "telephone_number": "856-206-9255",
            "fax_number": "856-206-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBANY PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "STRANQUIST",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "856-206-9255"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.