Dental Care of Hammonton, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL CARE OF HAMMONTON, LLC

Practice address

858 S White Horse Pike
Suite B1
Hammonton, NJ 08037-2031

Phone

(609) 567-4888

Fax

(609) 567-4751

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By 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

Ms. Isa Medina

Title

Office Manager

Phone

(609) 567-4888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1306179056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 S WHITE HORSE PIKE",
            "address_2": "SUITE B1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372031",
            "telephone_number": "609-567-4888",
            "fax_number": "609-567-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S WHITE HORSE PIKE",
            "address_2": "SUITE B1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372031",
            "telephone_number": "609-567-4888",
            "fax_number": "609-567-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF HAMMONTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-567-4888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Donna Lynn Delucca, ATC
• Rose Denny, BSN
• Dental Care of Hammonton II LLC
• Dominick Dephilippis, PH.D.
• Maura Desmond, MSW LSW
• Jonathan Peter Destasio, PHARMD
• Gerald Detata, MD
• Thomas Devenny Jr.

• General Practice Dentistry in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.