Organization Active NPI

Cherry Hill LV Dental, LLC

  • General Practice Dentistry
  • Cherry Hill, NJ
National Provider Identifier
1053194266
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHERRY HILL LV DENTAL, LLC
Doing business as
Lakeview Dental Care of Cherry Hill
Practice address
101 Marlton Pike E
Cherry Hill, NJ 08034-2403
Phone
(856) 424-3335
Fax
(856) 424-8753
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Chris Zadlo
Title
Manager of Operations
Phone
(856) 302-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

101 Marlton Pike E
Cherry Hill, NJ 08034-2403

Mailing address

101 Marlton Pike E
Cherry Hill, NJ 08034-2403
Phone (856) 424-3335

Other names 1

  • Lakeview Dental Care of Cherry Hill Doing business as

National Provider Directory

National Provider Directory

Locations

101 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 424-3335

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1053194266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342403",
            "telephone_number": "856-424-3335",
            "fax_number": "856-424-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342403",
            "telephone_number": "856-424-3335",
            "fax_number": "856-424-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL LV DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "ZADLO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "856-302-7026"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Dental Care of Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.