Popeck Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI019021 Issued in NJ

Legal business name

POPECK FAMILY DENTISTRY

Practice address

133 N Broadway
B
Pennsville, NJ 08070-1649

Phone

(856) 678-6393

Fax

(856) 678-6816

NPI assigned

Dec 5, 2011

Last updated

Jul 14, 2014By 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. Jerry Joseph Popeck, DMDNPI 1972655017

Title

Dentist/Owner

Phone

(856) 678-6393

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry J Popeck, DMD PC

  • General Practice Dentistry
  • Pennsville, NJ
  • NPI 1972655017
  NPD (past) Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1346518362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N BROADWAY",
            "address_2": "B",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701649",
            "telephone_number": "856-678-6393",
            "fax_number": "856-678-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N BROADWAY",
            "address_2": "B",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701649",
            "telephone_number": "856-678-6393",
            "fax_number": "856-678-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPECK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "POPECK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "856-678-6393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Peregmon, OTR
• John G Petersen, RPH
• Pinnacle Treatment Centers NJ III LLC (Pennsville Treatment Services)
• Pinnacle Treatment Centers NJ-III LLC (Pennsville Treatment Services)
• Danielle Cristin Plum, RPH
• Jerry J Popeck, DMD PC
• Shaukat M Qureshi, M.D
• Raymond a Rivell DPM PA
• Redemption Addiction Treatment Center NJ LLC
• Resources for Independent Living, Inc.

• General Practice Dentistry in Pennsville, NJ
• Providers in Pennsville, 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 Jul 14, 2014; 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.