Organization Active NPI

MBN Partners, LLC

  • Pediatric Dentistry
  • Marlton, NJ
National Provider Identifier
1306337654
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Jun 29, 2021

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Marlton Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.