Active NPI
George Marcantonis, DMD
- Dentist
- Turnersville, NJ
National Provider Identifier
1184833410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02225100
- Practice address
- 188 Fries Mill Rd
Suite L-3
Turnersville, NJ 08012-2015 - Phone
- (856) 629-0088
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02225100 | NJ | Primary |
Addresses
Primary practice location
188 Fries Mill Rd
Suite L-3
Turnersville, NJ 08012-2015
Mailing address
137 Yorktown Rd
Swedesboro, NJ 08085-4203
Phone (609) 319-8834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 6, 2021 through Oct 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02225100 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Dental of West Chester, Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- West Chester, PA
- NPI 1447370721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184833410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 YORKTOWN RD",
"city": "SWEDESBORO",
"state": "NJ",
"postal_code": "080854203",
"telephone_number": "609-319-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 FRIES MILL RD",
"address_2": "SUITE L-3",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080122015",
"telephone_number": "856-629-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANTONIS",
"first_name": "GEORGE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02225100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.