Mario J. Canal DMD, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI01653900 Issued in NJ

Legal business name

MARIO J. CANAL DMD, PC

Practice address

285 S Church St
Suite 7
Moorestown, NJ 08057-2773

Phone

(856) 439-1200

Fax

(856) 439-1106

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mario Canal, DMDNPI 1184727737

Title

Owner

Phone

(856) 439-1200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario J Canal, DMD

  • General Practice Dentistry
  • Moorestown, NJ
  • NPI 1184727737
  NPD (past) Authorized official
• Bernard Calem, DMD

  • Periodontics
  • Moorestown, NJ
  • NPI 1992808547
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1174638845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST",
            "address_2": "SUITE 7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-439-1200",
            "fax_number": "856-439-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST",
            "address_2": "SUITE 7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-439-1200",
            "fax_number": "856-439-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J. CANAL DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "CANAL",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-439-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01653900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharad Sunder Mansukani, MD
• Andrew Mantone, PA-C
• Jill Marghella, OT
• Rachel Brand Margolin, LCSW
• June Margolis, MD
• Mark S Walker LLC
• Ann F. Markel, P.T.
• Marisa Marks, RDN
• Jill Ann Marple, MD
• Renee Marter, LCSW

• Periodontics in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.