Dental Specialists of Voorhees

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI01821002 Issued in NJ

Legal business name

DENTAL SPECIALISTS OF VOORHEES

Practice address

1307 White Horse Rd
Suite 502
Voorhees, NJ 08043-2176

Phone

(856) 888-1365

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert Desipio Jr., DMD

Title

Chairman of the Board

Phone

(856) 627-3400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1538618756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE 502",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-888-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WHITE HORSE RD",
            "address_2": "SUITE 502",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432176",
            "telephone_number": "856-888-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF VOORHEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DESIPIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "856-627-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01821002",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01749100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas James Demosthenes
• Frantz Denis, M.D.
• Lisa Denish, LAC
• Dental Arts of South Jersey, P.C.
• Dental Care of Southern New Jersey PA
• Anthony Carl Depativo, D.C.
• Dermatology and Skin Care Center
• Dermatology of South Jersey LLC
• Jonel M Dershem, MD
• Anand Desai, M.D.

• Periodontics in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.