GD NJ Swedesboro LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD NJ SWEDESBORO LLC

Practice address

1507 Kings Hwy
Swedesboro, NJ 08085-1211

Phone

(856) 467-1100

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Fox Dental Doing business as

Locations

Practitioners 1

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

• Elizabeth Kilpatrick-Fox, D.M.D.

  • General Practice Dentistry
  • Swedesboro, NJ
  • NPI 1932227469
  NPD (past)

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1073330403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 KINGS HWY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851211",
            "telephone_number": "856-467-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 KINGS HWY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851211",
            "telephone_number": "856-467-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD NJ SWEDESBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Patrick Flatley, DPM
• Suzanne Christine Foster-Wolfe, LPC, LCADC, NCC, DCC
• Joshua R Freedman, M.D., M.S.
• Full Bloom Counseling LLC
• Mackenzie Gaetano, DPT
• GH Ventures Inc
• Anwar Joseph Golden, M. ED.
• Ernestine Green, MFT, LAC
• Sabrina Guidicipietro-Varona, LAC, NCC
• Russell Guise Jr.

• General Practice Dentistry in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.