NPIMap

Organization Active NPI

Haddon Heights LV Dental, LLC

Doing business as Lakeview Dental Care of Haddon Heights

  • General Practice Dentistry
  • Haddon Heights, NJ
National Provider Identifier
1255114468
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HADDON HEIGHTS LV DENTAL, LLC
Doing business as
Lakeview Dental Care of Haddon Heights
Practice address
209 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone
(856) 546-0665
Fax
(856) 546-2993
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Chris Zadlo
Title
Manager of Operations
Phone
(856) 302-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

209 White Horse Pike
Haddon Heights, NJ 08035-1703

Mailing address

209 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone (856) 546-0665

Other names 1

  • Lakeview Dental Care of Haddon Heights Doing business as

National Provider Directory

National Provider Directory

Locations

209 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-0665

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1255114468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-546-0665",
            "fax_number": "856-546-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-546-0665",
            "fax_number": "856-546-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON HEIGHTS LV DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "ZADLO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "856-302-7026"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Dental Care of Haddon Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.