Organization Active NPI

Crown'D Dentistry

  • Dental Clinic/Center
  • Turnersville, NJ
National Provider Identifier
1487412169
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CROWN'D DENTISTRY
Practice address
188 Fries Mill Rd Ste D3
Turnersville, NJ 08012-2060
Phone
(856) 352-5255
Fax
(856) 352-5253
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Jennalee Dicicco, DMDNPI 1689102030
Title
Dentist
Phone
(856) 352-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

188 Fries Mill Rd Ste D3
Turnersville, NJ 08012-2060

Mailing address

188 Fries Mill Rd Ste D3
Turnersville, NJ 08012-2060
Phone (856) 352-5255

National Provider Directory

National Provider Directory

Locations

188 Fries Mill Rd
Ste D3
Turnersville, NJ 08012
Phone (856) 352-5255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1487412169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD STE D3",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122060",
            "telephone_number": "856-352-5255",
            "fax_number": "856-352-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD STE D3",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122060",
            "telephone_number": "856-352-5255",
            "fax_number": "856-352-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN'D DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "DICICCO",
        "authorized_official_first_name": "JENNALEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "856-352-5255",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.