Super Smiles Dentistry for Children, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02292500 Issued in NJ

Legal business name

SUPER SMILES DENTISTRY FOR CHILDREN, PC

Practice address

77 Garland LN
Willingboro, NJ 08046-3011

Phone

(609) 880-1500

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Howard J. Pactovis, DMD

Title

Owner

Phone

(609) 880-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1275937872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "609-880-1500",
            "fax_number": "609-880-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GARLAND LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463011",
            "telephone_number": "609-880-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER SMILES DENTISTRY FOR CHILDREN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "PACTOVIS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-880-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02292500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy R. Strikey, N.P.
• Barbara Sulecki, CSW
• Maryam M Suluki, DMD
• Yu Sun
• Sunset Family Dental, LLC
• Suresmiles Dental Studio
• Surgical Center of Burlington County, Inc
• Erica J Sweeney, RD
• Zenobia Swintone
• Nasir Syed

• Pediatric Dentistry in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.