Bomze Westonpediatric Dentistry Associates

Primary specialty

DentistTaxonomy code 122300000X

License

22D100942001 Issued in NJ

Legal business name

BOMZE WESTONPEDIATRIC DENTISTRY ASSOCIATES

Practice address

9 E. Main Street
Moorestown, NJ 08085

Phone

(856) 235-0415

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David William Weston, DDS

Title

Principal

Phone

(856) 235-0415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205920162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E. MAIN STREET",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-235-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E. MAIN STREET",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-235-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMZE WESTONPEDIATRIC DENTISTRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "856-235-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D100942001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J. Blatt, PT, DPT, CERT. MDT
• Bonita Blazer, PH.D
• Blum & Associates, LLC
• John Joseph Blum, LPC, LCADC
• Kelly Boatwright, PT, DPT
• Francine Bonaccorsi, PHARMACIST
• Boscovs Department Store LLC
• Jessica Bowers-Pepe, DO
• Damani Bowman
• Carol Boylan, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.