Organization Active NPI

Willingboro Dental Associates,LLC

  • General Practice Dentistry
  • Willingboro, NJ
National Provider Identifier
1588229488
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLINGBORO DENTAL ASSOCIATES,LLC
Practice address
2A Rose St
Willingboro, NJ 08046-2538
Phone
(609) 877-7687
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Dr. Louis Anthony D'Angelo, DMD
Title
President/Ceo
Phone
(215) 816-5408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2A Rose St
Willingboro, NJ 08046-2538

Mailing address

2A Rose St
Willingboro, NJ 08046-2538
Phone (609) 877-7687

National Provider Directory

National Provider Directory

Locations

2 Rose St
#A
Willingboro, NJ 08046
Phone (606) 379-9649

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1588229488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A ROSE ST",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462538",
            "telephone_number": "609-877-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A ROSE ST",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462538",
            "telephone_number": "609-877-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLINGBORO DENTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-816-5408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.