Active NPI
Jennifer Dobzanski, DMD
- Pediatric Dentistry
- Hamilton, NJ
National Provider Identifier
1588015382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02696400
- Practice address
- 2929 Klockner Rd
Hamilton, NJ 08690-2809 - Phone
- (609) 586-6603
- Fax
- (609) 528-3003
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02696400 | NJ | Primary |
Addresses
Primary practice location
2929 Klockner Rd
Hamilton, NJ 08690-2809
Mailing address
2001 Hamilton St Apt 2214
Philadelphia, PA 19130-4209
Phone (215) 262-2856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02696400 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1588015382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HAMILTON ST APT 2214",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191304209",
"telephone_number": "215-262-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 KLOCKNER RD",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086902809",
"telephone_number": "609-586-6603",
"fax_number": "609-528-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBZANSKI",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02696400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.