South Jersey Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH JERSEY DENTAL CARE

Practice address

212 W Route 38
Suite 500
Moorestown, NJ 08057

Phone

(856) 206-9559

Fax

(856) 206-9399

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH JERSEY DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Jay J Liu, DMD, FICOI

Title

Owner (Self)

Phone

(267) 250-8082

Specialties & licenses 1

Addresses

Part of

South Jersey Dental Care

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1316574825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "address_2": "SUITE 500",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-206-9559",
            "fax_number": "856-206-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "address_2": "SUITE 500",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-206-9559",
            "fax_number": "856-206-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH JERSEY  DENTAL CARE",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER (SELF)",
        "authorized_official_telephone_number": "267-250-8082",
        "authorized_official_credential": "DMD, FICOI"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Alexandra Snyder, MD
• Samantha Sokoloff, MD
• Heeyah Song, MD
• Lauren Sonino, MS, OTR/L
• Ingrid Soto, RD
• South Jersey Eye Physicians PA
• South Jersey Eye Physicians, LLC (Surgical Center at South Jersey Eye Physicians)
• South Jersey Osteopathic Care Center, LLC
• South Jersey Smiles Inc.
• South Jersey Therapy Collective LLC (Moorestown Therapy Collective)

• General Practice Dentistry in Moorestown, NJ
• Providers in Moorestown, 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 Mar 25, 2020; 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.