Dental Care of Egg Harbor

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL CARE OF EGG HARBOR

Practice address

207 Philadelphia Ave Unit 207
Egg Harbor City, NJ 08215-1330

Phone

(856) 691-2307

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Frank Pettisani Jr., DDSNPI 1851482004

Title

Owner

Phone

(856) 691-2307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Frank A Pettisani Jr., DMD

  • General Practice Dentistry
  • Vineland, NJ
  • NPI 1851482004
  NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1104499888",
    "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": "856-691-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PHILADELPHIA AVE UNIT 207",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151330",
            "telephone_number": "856-691-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF EGG HARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "PETTISANI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-691-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Competent Nursing Staff LLC
• Mary Ann Copperman
• Lisa Cordasco, LCSW LCADC
• Kelly A Dalrymple, LPN
• Breanna M Davis
• Dental Care of Egg Harbor II LLC
• Dr. Arnold Shapiro PA
• Egg Harbor City Borad of Educatiojn
• Egg Harbor City School District
• Faith D Ellis

• Dental Clinic/Center in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.