Organization Active NPI

Haddon Family Dentistry

  • General Practice Dentistry
  • Cherry Hill, NJ
National Provider Identifier
1639437502
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DJ02308300 Issued in NJ
Legal business name
HADDON FAMILY DENTISTRY
Practice address
1197 Marikress Rd
Building B
Cherry Hill, NJ 08003
Phone
(856) 854-1010
Fax
(856) 854-1016
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Mrs. Rachel Louise Dworak
Title
Office Manager
Phone
(856) 854-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DJ02308300 NJ Primary

Addresses

Primary practice location

1197 Marikress Rd
Building B
Cherry Hill, NJ 08003

Mailing address

1197 Marikress Rd
Building B
Cherry Hill, NJ 08003
Phone (856) 854-1010

National Provider Directory

National Provider Directory

Locations

421 W Crystal Lake Ave
Haddonfield, NJ 08033

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1639437502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 MARIKRESS RD",
            "address_2": "BUILDING B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-854-1010",
            "fax_number": "856-854-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 MARIKRESS RD",
            "address_2": "BUILDING B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-854-1010",
            "fax_number": "856-854-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "DWORAK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-854-1010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DJ02308300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.