South Jersey Dental Sleep Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI01615200 Issued in NJ

Legal business name

SOUTH JERSEY DENTAL SLEEP CENTER LLC

Practice address

76 N Main St
Medford, NJ 08055-2720

Phone

(609) 953-7199

Fax

(609) 953-0314

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ken Hoover, DMD

Title

Owner

Phone

(609) 953-7199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1497101430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552720",
            "telephone_number": "609-953-7199",
            "fax_number": "609-953-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552720",
            "telephone_number": "609-953-7199",
            "fax_number": "609-953-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY DENTAL SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-953-7199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI01615200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Marie Smith, MD
• Erica Lynn Smith
• Jordan Alice Smith, PA-C
• Elizabeth Ann Smolsky, MSN, APN, C
• Heather Soellner
• South Jersey Eye Physicians PA
• South Jersey Home Healthcare LLC
• South Jersey Neurocare PA
• South Jersey Oral & Maxillofacial Surgeons, LLC
• Rosemary Abigail Spang, APN

• Dental Clinic/Center in Medford, NJ
• Providers in Medford, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.