Medford Children'S Dental Center, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MEDFORD CHILDREN'S DENTAL CENTER, PC

Practice address

520 Stokes Rd
Suite B 18
Medford, NJ 08055-2904

Phone

(609) 654-1141

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. George Dierna, D.D.S.

Title

Owner

Phone

(609) 654-1141

Specialties & licenses 1

Addresses

Other names 1

• A-OK Children's Dentistry, PC Doing business as

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1114200912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "856-235-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD",
            "address_2": "SUITE B 18",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "609-654-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD CHILDREN'S DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "DIERNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-654-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-OK Children's Dentistry, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandria McIntyre
• Sandi Blood McKay, NP
• Maura Elizabeth McKeon
• Valerie McKinnon
• David McNamera
• Medford Convalescent & Nursing Center
• Medford Endodontics
• Medford Eyewear Center, Inc.
• Medford Family and Cosmetic Dentistry
• Medford Family Dental Care PA

• Pediatric Dentistry in Medford, NJ
• Providers in Medford, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.