Peter R. Duca, Jr., DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01754300 Issued in NJ

Legal business name

PETER R. DUCA, JR., DMD PC

Practice address

520 Stokes Rd
Building B-18
Medford, NJ 08055-2904

Phone

(609) 953-7400

Fax

(609) 953-4032

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Duca

Title

Owner

Phone

(609) 953-7400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639286115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES RD",
            "address_2": "BUILDING B-18",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "609-953-7400",
            "fax_number": "609-953-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD",
            "address_2": "BUILDING B-18",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "609-953-7400",
            "fax_number": "609-953-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R. DUCA, JR., DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUCA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-953-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01754300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kip Patterson, ATC, CSCS
• Peaceful Practices Counseling LLC
• Latoya Pegram, LPAT, LPC, ART-BC
• Kristen Edith Perkowski, MPT
• Ashley Perry, LPC
• Sara C Phelps, PHARMD
• Jimmy Phuong
• Physique Labs
• Michael J Piarulli Jr., MD
• Pineland Plaza Family Practice, LLC

• General Practice Dentistry in Medford, NJ
• Providers in Medford, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.