Community Dental of Salem, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COMMUNITY DENTAL OF SALEM, P.C.

Practice address

709 South Broadway
Pennsville, NJ 08070

Phone

(917) 273-5119

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By 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. Todd Prager, DDS

Title

General Partner

Phone

(917) 273-5119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1457843500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SOUTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "08070",
            "telephone_number": "917-273-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SOUTH BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "08070",
            "telephone_number": "917-273-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL OF SALEM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "PRAGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "917-273-5119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Camac, LAC
• Bethany Renee Canver, MD
• Michele Danielle Carfiello
• Robert Thaddeaus Chapdelaine, MD
• Christi Erdman, LPC- Coping and Consulting
• Rona Connelly, LPN
• Cooper Primary Care at Pennsville, PA
• Lawrence Hayes Coppock, OD
• Cornerstone Foot & Ankle
• Corey Cramer, M.D.

• Dentist in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.