Organization Active NPI

Atlas Dental Specialty Associates LLC

  • Prosthodontics
  • Cherry Hill, NJ
National Provider Identifier
1235576182
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02404200 Issued in NJ
Legal business name
ATLAS DENTAL SPECIALTY ASSOCIATES LLC
Practice address
63 Kresson Rd
Suite 102
Cherry Hill, NJ 08034-3200
Phone
(856) 857-0400
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. Julio R Espinoza, DDS, MS
Title
Managing Member
Phone
(856) 857-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 22DI02534400 NJ
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 22DI02404200 NJ Primary

Addresses

Primary practice location

63 Kresson Rd
Suite 102
Cherry Hill, NJ 08034-3200

Mailing address

63 Kresson Rd
Suite 102
Cherry Hill, NJ 08034-3200
Phone (856) 857-0400

Other names 1

  • Haddonfield Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1235576182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD",
            "address_2": "SUITE 102",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD",
            "address_2": "SUITE 102",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-857-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS DENTAL SPECIALTY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "856-857-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02534400",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02404200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haddonfield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.