Fresh Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRESH DENTAL INC

Practice address

910 Haddonfield Berlin Rd Unit 8
Voorhees, NJ 08043-3503

Phone

(856) 998-1900

Fax

(856) 528-3484

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Hung Luong, DDSNPI 1356879399

Title

Owner/Dentist

Phone

(267) 357-7119

Specialties & licenses 3

Addresses

Other names 1

• Fresh 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.

• Hung Dieu Luong, DDS

  • Dentist
  • Voorhees, NJ
  • NPI 1356879399
  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1104490390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CARDINAL LAKE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032904",
            "telephone_number": "267-357-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HADDONFIELD BERLIN RD UNIT 8",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433503",
            "telephone_number": "856-998-1900",
            "fax_number": "856-528-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "HUNG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "267-357-7119",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole A Fredmonski, MA, CCC-SLP
• Rhonda Freeman
• Shauna Freeman, PMHNP-BC
• Austin French, MD
• Fresenius Medical Care Voorhees, LLC
• Fresh Start Addiction Treatment
• Fresh Start Center
• Fresh Start Counseling LLC
• Fresh Start Family Therapy Services
• Zoe Friedberg, MSS

• General Practice Dentistry in Voorhees, NJ
• Providers in Voorhees, 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 May 13, 2021; 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.