Acorn Dental Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI01834400 Issued in NJ

Legal business name

ACORN DENTAL ASSOCIATES

Practice address

100 Centre Blvd
Suite J
Marlton, NJ 08053-4128

Phone

(856) 983-0060

Fax

(856) 983-3356

NPI assigned

Mar 27, 2007

Last updated

Sep 11, 2025By 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

Dr. Frederick R Van Istendal Jr., DDS

Title

President

Phone

(856) 983-0060

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306964226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRE BLVD",
            "address_2": "SUITE J",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-983-0060",
            "fax_number": "856-983-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRE BLVD",
            "address_2": "SUITE J",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-983-0060",
            "fax_number": "856-983-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VAN ISTENDAL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-983-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI00903200",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01834400",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01122502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Above and Beyond Treatment Solutions
• Accel Pediatrics, P.a.
• Frank Acchione Jr., CRNA
• Acclaim Autism LLC
• Acic Associates
• Acorn Dental Sleep Medicine Centers Limited Liability Company
• Melissa Acquavella-Lightfoot, PSY.D.
• Active Health Marlton LLC (Active Joint and Spine Institute)
• Active Rehabilitation P.C.
• Thamar Adams, APN

• Periodontics in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.