NPIMap

Organization Active NPI

Cosmopolitan Dental, LLC

  • Dentist
  • Marlton, NJ
National Provider Identifier
1104143478
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01749700 Issued in NJ
Legal business name
COSMOPOLITAN DENTAL, LLC
Practice address
10000 Lincoln Dr E
Suite 106
Marlton, NJ 08053-3105
Phone
(856) 983-2983
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Dennis W. Chew, DDSNPI 1801818737
Title
Owner
Phone
(856) 983-2983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22DI01749700 NJ Primary

Addresses

Primary practice location

10000 Lincoln Dr E
Suite 106
Marlton, NJ 08053-3105

Mailing address

10000 Lincoln Dr E
Suite 106
Marlton, NJ 08053-3105
Phone (856) 983-2983

National Provider Directory

National Provider Directory

Locations

10000 Lincoln Dr E
Ste 106
Marlton, NJ 08053
Phone (856) 983-2983

Practitioners & affiliated clinicians

Practitioners 1

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": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1104143478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E",
            "address_2": "SUITE 106",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "856-983-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E",
            "address_2": "SUITE 106",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "856-983-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "CHEW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-983-2983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01749700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.