Dental Care of Mullica Hill LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL CARE OF MULLICA HILL LLC

Practice address

108 Swedesboro Rd
Mullica Hill, NJ 08062-1800

Phone

(856) 691-2553

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Frank Pettisani Jr., DMD

Title

Owner

Phone

(856) 691-2553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1124736947",
    "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": "856-691-2553",
            "fax_number": "856-691-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SWEDESBORO RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621800",
            "telephone_number": "856-691-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF MULLICA HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "PETTISANI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-691-2553",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine De Dan, MD
• Kacey Lee Dearing, MD
• John A Deleonardis, M.D.
• Miladys Delgado, NP
• Dental Care of Mullica Hill II LLC
• Pranav Ketan Desai, M.B.B.S.
• Tyler Desmond, MD
• Gabriella Destefano, MD
• Isabella Destefano, MD
• DHCC LLC

• Dental Clinic/Center in Mullica Hill, NJ
• Providers in Mullica Hill, 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 Nov 10, 2022; 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.