NPIMap

Organization Active NPI

Dental Arts & Wellness LLC

  • Dental Clinic/Center
  • Evesham, NJ
National Provider Identifier
1194432609
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL ARTS & WELLNESS LLC
Practice address
524 Lippincott Dr Ste B
Evesham, NJ 08053-4804
Phone
(856) 596-3200
Fax
(856) 596-3256
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Jessica Scordamaglia, DMDNPI 1740681584
Title
Owner Dentist
Phone
(267) 337-5592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

524 Lippincott Dr Ste B
Evesham, NJ 08053-4804

Mailing address

1634 Pulaski Dr
Blue Bell, PA 19422-3673

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1194432609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 PULASKI DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 LIPPINCOTT DR STE B",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080534804",
            "telephone_number": "856-596-3200",
            "fax_number": "856-596-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "SCORDAMAGLIA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "267-337-5592",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evesham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.