Affordable Dentures Audubon Michelle Sperry DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

22D102244000 Issued in NJ

Legal business name

AFFORDABLE DENTURES AUDUBON MICHELLE SPERRY DDS PA

Practice address

800 Black Horse Pike
W Collingswood Heights, NJ 08059

Phone

(856) 742-1440

Fax

(856) 742-1601

NPI assigned

Sep 29, 2008

Last updated

Sep 29, 2008By 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

Michelle Sperry, DDS

Title

Practice Owner

Phone

(856) 742-1440

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Aitken, DDS

  • Dentist
  • West Collingswood Heights, NJ
  • NPI 1841356318
  NPD (past)
• Hye-Eun Kim, DMD

  • Dentist
  • Quakertown, PA
  • NPI 1952582462
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1154571099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BLACK HORSE PIKE",
            "city": "W COLLINGSWOOD HEIGHTS",
            "state": "NJ",
            "postal_code": "08059",
            "telephone_number": "856-742-1440",
            "fax_number": "856-742-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BLACK HORSE PIKE",
            "city": "W COLLINGSWOOD HEIGHTS",
            "state": "NJ",
            "postal_code": "08059",
            "telephone_number": "856-742-1440",
            "fax_number": "856-742-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES AUDUBON MICHELLE SPERRY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "SPERRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "856-742-1440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102244000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.