Active NPI
Dental Care of Vineland, P.a.
- General Practice Dentistry
- Vineland, NJ
National Provider Identifier
1093937583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18248
- Legal business name
- DENTAL CARE OF VINELAND, P.A.
- Practice address
- 1500 S Lincoln Ave
Vineland, NJ 08361-6610 - Phone
- (856) 691-2553
- Fax
- (856) 691-3370
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Marchese
- Title
- Insurance Coordinator
- Phone
- (856) 691-2553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18248 | NJ | Primary |
Addresses
Primary practice location
1500 S Lincoln Ave
Vineland, NJ 08361-6610
Mailing address
1500 S Lincoln Ave
Vineland, NJ 08361-6610
Phone (856) 691-2553
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352764800000",
"number": "1093937583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083616610",
"telephone_number": "856-691-2553",
"fax_number": "856-691-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S LINCOLN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083616610",
"telephone_number": "856-691-2553",
"fax_number": "856-691-3370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL CARE OF VINELAND, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2012-11-13",
"status": "A",
"authorized_official_last_name": "MARCHESE",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "856-691-2553"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "18248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.