Mariana C Elwell DDS Fagd PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02582800 Issued in NJ

Legal business name

MARIANA C ELWELL DDS FAGD PC

Practice address

6 Atlantic St
Bridgeton, NJ 08302-1829

Phone

(856) 455-4095

Fax

(856) 455-5292

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mariana C Elwell, DDS

Title

President

Phone

(856) 455-4095

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betty Jo Simas

  • Dentist
  • Beaufort, SC
  • NPI 1992989099
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1306322086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 COUNTRY LN",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618634",
            "telephone_number": "856-506-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ATLANTIC ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021829",
            "telephone_number": "856-455-4095",
            "fax_number": "856-455-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA C ELWELL DDS FAGD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-455-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02582800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265421986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A. Lummis, D.M.D., M.A.G.D.
• Mad Hatter Counseling LLC
• John Manning, PHARMD
• Daniel Manske, M.D.
• Martina Marcus, LPN
• Abbigail Taylor Markee
• Anna Marks
• Rita Maroldo, APRN
• Christianna R Martin, LCSW
• Nancy Martin, LCSW

• General Practice Dentistry in Bridgeton, NJ
• Providers in Bridgeton, 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 Jul 16, 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.