Active NPI
Fernando Jose Lores Seijas, DMD
- Dentist
- Cinnaminson, NJ
National Provider Identifier
1609769330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03092700
- Practice address
- 202 Route 130 N
Cinnaminson, NJ 08077 - Phone
- (856) 303-0600
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03092700 | NJ | Primary |
Addresses
Primary practice location
202 Route 130 N
Cinnaminson, NJ 08077
Mailing address
450 N 18TH St Apt 307
Philadelphia, PA 19130-4088
Phone (609) 786-0121
Other names 1
- Fernando Jose Lores
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 |
|---|---|---|---|
| 22DI03092700 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Dental of Burlington, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Cinnaminson, NJ
- NPI 1366590457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1609769330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N 18TH ST APT 307",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191304088",
"telephone_number": "609-786-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 ROUTE 130 N",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "08077",
"telephone_number": "856-303-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORES SEIJAS",
"first_name": "FERNANDO",
"middle_name": "JOSE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03092700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FERNANDO",
"last_name": "LORES",
"middle_name": "JOSE",
"credential": "DMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.