Greentree Dental DRS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI017491 Issued in NJ

Legal business name

GREENTREE DENTAL DRS LLC

Doing business as

All 5 Dental Specialties

Practice address

1000 Lincoln Dr E
Suite 3a
Marlton, NJ 08053-1566

Phone

(844) 255-3483

NPI assigned

Feb 24, 2014

Last updated

Feb 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Edenbaum, DMD

Title

Partner

Phone

(844) 255-3483

Specialties & licenses 1

Addresses

Other names 1

• All 5 Dental Specialties Doing business as

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1144645433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "address_2": "SUITE C",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN DR E",
            "address_2": "SUITE 3A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531566",
            "telephone_number": "844-255-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE DENTAL DRS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "EDENBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "844-255-3483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI017491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All 5 Dental Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater New Jersey Creative Counseling
• Greater New Jersey Creative Counseling Inc
• Anthony Greco, CRNA
• Justin Jacob Green, MD
• Adele Greenhaus, LCSW
• Greentree Dental Implants and Periodontics LLC (Grenntree Periodontics)
• Gregory a Pistone, MD Professional Corporation (Pistone Cosmetic Dermatology and Surgery)
• Gregory W. Joseph, Psy.D., LLC
• Kristine Marie Griffin, P.A.
• Mark Griffin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.