Clementon Family Dentistry P C

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CLEMENTON FAMILY DENTISTRY P C

Practice address

132 White Horse Pike
Clementon, NJ 08021-4159

Phone

(856) 783-4949

Fax

(856) 783-9766

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Kenneth Soffer, DDS

Title

Owner

Phone

(856) 783-4949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1104599745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WHITE HORSE PIKE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214159",
            "telephone_number": "856-783-4949",
            "fax_number": "856-783-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WHITE HORSE PIKE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214159",
            "telephone_number": "856-783-4949",
            "fax_number": "856-783-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTON FAMILY DENTISTRY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "SOFFER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-783-4949",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Family Services, Inc.
• Melissa Charfadi, LPC, NCC
• Ankita Chatterjee
• Cherrywood Plaza Supermarket LLC
• Clementon Elementary School
• Clementon School District
• Marissa Leigh Coffield
• Skylar Cooper
• Stephanie Amanda Creitz
• Timothy F Crowley, DC

• Oral and Maxillofacial Surgery (Dentist) in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.