Active NPI
MBN Partners, LLC
- Pediatric Dentistry
- Marlton, NJ
National Provider Identifier
1306337654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- MBN PARTNERS, LLC
- Practice address
- 270 Elmwood Rd N Ste H140
Marlton, NJ 08053-2377 - Phone
- (856) 291-6888
- Fax
- (856) 446-6662
- NPI assigned
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Pitt
- Title
- Office Manager
- Phone
- (856) 291-6888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
270 Elmwood Rd N Ste H140
Marlton, NJ 08053-2377
Mailing address
270 Elmwood Rd N Ste H140
Marlton, NJ 08053-2377
Phone (856) 291-6888
Other names 2
- Gleam Dentistry
- Marlton Pediatric Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Marlton, NJ
- NPI 1184148736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1306337654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 ELMWOOD RD N STE H140",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532377",
"telephone_number": "856-291-6888",
"fax_number": "856-985-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 ELMWOOD RD N STE H140",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532377",
"telephone_number": "856-291-6888",
"fax_number": "856-446-6662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBN PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "PITT",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-291-6888"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gleam Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marlton Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marlton Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.