Marc L Albano, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02344100 Issued in NJ

Practice address

4 Burton LN
Suite 400
Mullica Hill, NJ 08062-9441

Phone

(856) 842-5400

Fax

(856) 842-5220

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dentistry of Mullica Hill, Limited Liability Company

  • Pediatric Dentistry
  • Mullica Hill, NJ
  • NPI 1992189179
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1477763548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURTON LN",
            "address_2": "SUITE 400",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-842-5400",
            "fax_number": "856-842-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURTON LN",
            "address_2": "SUITE 400",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629441",
            "telephone_number": "856-842-5400",
            "fax_number": "856-842-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANO",
        "first_name": "MARC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02344100",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassil Akach
• Ihechi Akwuole
• Rakan Al-Ahmad, DO
• Jami Jameleh Alazruei, PHARMD
• Kristeen Jalal Alazruei, PHARMD
• Michael O Alen, DO
• Nafis Mahbub Ali, DO
• Kevin M Allen Jr., MS, LPC, NCC
• Rachel Allen, MD
• Curtis Brandon Allumbaugh, MD

• Pediatric Dentistry in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.