Fox Meadow Cosmetic & Family Dental Assoc PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI18977 Issued in NJ

Legal business name

FOX MEADOW COSMETIC & FAMILY DENTAL ASSOC PA

Practice address

108 Centre Blvd Ste G
Suite G
Marlton, NJ 08053-4132

Phone

(856) 985-1400

Fax

(856) 985-1411

NPI assigned

Aug 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. Jolly S Ahluwalia, DMD

Title

President

Phone

(856) 985-1400

Specialties & licenses 2

Addresses

Other names 1

• Fox Meadow Dental Center Doing business as

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1154437614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CENTRE BLVD STE G",
            "address_2": "SUITE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534132",
            "telephone_number": "856-985-1400",
            "fax_number": "856-985-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CENTRE BLVD STE G",
            "address_2": "SUITE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534132",
            "telephone_number": "856-985-1400",
            "fax_number": "856-985-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX MEADOW COSMETIC & FAMILY DENTAL ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-985-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI18977",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI16582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Meadow Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fortuna Optical
• Foundation for Family Guidance Christian Counseling Center
• Foundation Research Medical Services
• Ariyon Fountaine
• Jessica A Fowler, LCSW
• Ernest Franciotti, PT
• Tamika Arnille Francois, M.A.
• Nicoleta Frangos, M.S.
• Ruth Cecelia Franklin, CA, LAC
• Victoria Villene Franklin, RN

• Dental Clinic/Center in Marlton, NJ
• Providers in Marlton, 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 Jul 21, 2015; 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.