Somerdale Family Dental Associates PA

Primary specialty

DentistTaxonomy code 122300000X

License

13496 Issued in NJ

Legal business name

SOMERDALE FAMILY DENTAL ASSOCIATES PA

Practice address

205 N White Horse Pike
Somerdale, NJ 08083-1646

Phone

(856) 783-3499

Fax

(856) 783-9582

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Francine J Rebhun, DMDNPI 1275554966

Title

Secretary

Phone

(856) 783-3499

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Francine J Rebhun, DMD

  • Dentist
  • Somerdale, NJ
  • NPI 1275554966
  NPD (past) Authorized official
• Susan B Trager, DMD

  • Dentist
  • Somerdale, NJ
  • NPI 1649291345
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104847805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N WHITE HORSE PIKE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831646",
            "telephone_number": "856-783-3499",
            "fax_number": "856-783-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N WHITE HORSE PIKE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831646",
            "telephone_number": "856-783-3499",
            "fax_number": "856-783-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERDALE FAMILY DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REBHUN",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "856-783-3499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "13496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2655705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rutgers School of Dental Medicine
• Angela Saliba, LCADC
• Select Therapy, Inc.
• Caitlyn Snyder, LSW
• Somerdale Boe
• Chelsea L Soulliard
• Stanley B. Piltin
• Stephens Transportation
• Sterling High School District
• Strictly Surgical

• Dentist in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.