State of the Art Smiles, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DI01771700 Issued in NJ

Legal business name

STATE OF THE ART SMILES, PA

Practice address

560A Lippincott Dr
Marlton, NJ 08053

Phone

(856) 985-1880

Fax

(856) 985-7170

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 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

Teresa Addiego Moore, DMD

Title

President/Owner

Phone

(856) 985-1800

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Addiego, DMD

  • Dentist
  • Marlton, NJ
  • NPI 1164623468
  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1093113680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560A LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-985-1880",
            "fax_number": "856-985-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560A LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-985-1880",
            "fax_number": "856-985-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE ART SMILES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "ADDIEGO MOORE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "856-985-1800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI01771700",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02582400",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI02514400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Stachnik
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• Stephen Stafford, D.O
• Kaitlin Carll Stallone
• Anthony Starr, OD
• Ann Steel, MD
• Bonnie Todd Steel, N.P.
• Stefanou Chiropractic Center, LLC
• Bill E. Stefanou, DC
• Meryl Y Stein, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.