Three Little Birds Pediatric Dentistry. TLB PD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THREE LITTLE BIRDS PEDIATRIC DENTISTRY. TLB PD LLC

Practice address

3104 Bridgeboro Rd Ste a
Delran, NJ 08075-9716

Phone

(856) 444-5437

Fax

(856) 314-5437

NPI assigned

Feb 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Phil W Chung, DDSNPI 1790063816

Title

Owner

Phone

(856) 444-5437

Specialties & licenses 1

Addresses

Practitioners 1

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

• Phil W. Chung, D.D.S.

  • Pediatric Dentistry
  • Delran, NJ
  • NPI 1790063816
  NPD Authorized official

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1306592563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BRIDGEBORO RD STE A",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759716",
            "telephone_number": "856-444-5437",
            "fax_number": "856-314-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BRIDGEBORO RD STE A",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759716",
            "telephone_number": "856-444-5437",
            "fax_number": "856-314-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LITTLE BIRDS PEDIATRIC DENTISTRY. TLB PD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-444-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Delran, NJ
• Providers in Delran, 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 Aug 7, 2022; 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.