NPIMap

Organization Active NPI

Staffordshire Dental Group PA

  • General Practice Dentistry
  • Voorhees, NJ
National Provider Identifier
1255478343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI13083 Issued in NJ
Legal business name
STAFFORDSHIRE DENTAL GROUP PA
Practice address
1307 White Horse Rd
Suite 500
Voorhees, NJ 08043-2176
Phone
(856) 627-3400
Fax
(856) 627-3628
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Lawrence Lenahan, D.M.D.NPI 1699827196
Title
President
Phone
(856) 627-3400

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DI13083 NJ Primary

Addresses

Primary practice location

1307 White Horse Rd
Suite 500
Voorhees, NJ 08043-2176

Mailing address

1307 White Horse Rd
Suite 500
Voorhees, NJ 08043-2176
Phone (856) 627-3400

National Provider Directory

National Provider Directory

Locations

1307 White Horse Rd
Ste 500
Voorhees, NJ 08043
Phone (856) 627-3400

Practitioners & affiliated clinicians

Practitioners 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255478343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE 500",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-627-3400",
            "fax_number": "856-627-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE 500",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-627-3400",
            "fax_number": "856-627-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORDSHIRE DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-627-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • 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.