Woodbury Dental Associates PA

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02559400 Issued in NJ

Legal business name

WOODBURY DENTAL ASSOCIATES PA

Practice address

1050 Mantua Pike
Wenonah, NJ 08090-1141

Phone

(856) 848-6630

Fax

(856) 848-7294

NPI assigned

Mar 15, 2017

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah S Zanger

Title

Manager

Phone

(856) 848-6630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1235670811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MANTUA PIKE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901141",
            "telephone_number": "856-848-6630",
            "fax_number": "856-848-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MANTUA PIKE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901141",
            "telephone_number": "856-848-6630",
            "fax_number": "856-848-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "ZANGER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-848-6630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02559400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenonah Medical Associates, P.a.
• West Deptford Animal Hospital
• Eliza White, RN, CPNP
• Edmund Wilkinson, D.O.
• Willowglen Academy-New Jersey, Inc.
• Wyckoff-Nester, LLP
• Carl K Wyckoff III, D.D.S.
• Youth Consultation Service Inc (Wenonah Group Home)
• Jacquelyn Regina Zagone, PMHNP
• Stephania Michelle Zuniga Bernabe, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.