Organization Active NPI

Collingswood Dental Partners, LLC

  • Dental Clinic/Center
  • Collingswood, NJ
National Provider Identifier
1457916223
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLLINGSWOOD DENTAL PARTNERS, LLC
Practice address
831 Haddon Ave
Collingswood, NJ 08108-1923
Phone
(856) 854-5543
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Lauren Hill
Title
RCM, Director
Phone
(972) 930-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

831 Haddon Ave
Collingswood, NJ 08108-1923

Mailing address

630 W Germantown Pike Ste 120
Plymouth Meeting, PA 19462-1074
Phone (484) 455-4545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1457916223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W GERMANTOWN PIKE STE 120",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621074",
            "telephone_number": "484-455-4545",
            "fax_number": "484-284-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081923",
            "telephone_number": "856-854-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGSWOOD DENTAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "RCM, DIRECTOR",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.