Upper Deerfield Dentistry Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UPPER DEERFIELD DENTISTRY PROFESSIONAL CORPORATION

Practice address

233 Laurel Heights Dr
Bridgeton, NJ 08302-3635

Phone

(856) 455-7111

NPI assigned

Apr 1, 2025

Last updated

Apr 1, 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

Susan Dunford

Title

Billing and Credentialing Manager

Phone

(313) 342-1997

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Funmi Abosede

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1821528282
  NPD
• James Patrick Sikorski, DMD

  • General Practice Dentistry
  • Bridgeton, NJ
  • NPI 1780724575
  NPD (past)
• Elizabeth Ann Wangstrom, DMD

  • General Practice Dentistry
  • Bridgeton, NJ
  • NPI 1841330636
  NPD (past)

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1477356574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER DEERFIELD DENTISTRY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "DUNFORD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "313-342-1997"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Community Action Agency, Inc.
• Catherine K Tugman, MD
• Kim Turner
• Une'K Therapeutic Solutions, LLC
• Upper Deerfield Dental Center
• Upper Deerfield Township Boe
• Susan Vanatta
• Jenna Michelle Vanmeter
• Heidi Velazquez, LPC
• Yvette Villagomez

• General Practice Dentistry in Bridgeton, NJ
• Providers in Bridgeton, 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 Apr 1, 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.