Active NPI
Willingboro Dental Associates,LLC
- General Practice Dentistry
- Willingboro, NJ
National Provider Identifier
1588229488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Willingboro, NJ
- NPI 1134236706
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.