Special Smiles New Jersey PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPECIAL SMILES NEW JERSEY PA

Doing business as

Special Smiles New Jersey PA

Practice address

805 Route 38 Ste 202
Cherry Hill, NJ 08002-2850

Phone

(267) 639-6250

Fax

(267) 639-6270

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mark Goldstein, DDS

Title

Owner

Phone

(267) 639-6250

Specialties & licenses 1

Addresses

Other names 1

• Special Smiles New Jersey PA Doing business as

Locations

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1649918871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E ALLEGHENY AVE STE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344427",
            "telephone_number": "267-639-6250",
            "fax_number": "267-639-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ROUTE 38 STE 202",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022850",
            "telephone_number": "267-639-6250",
            "fax_number": "267-639-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SMILES NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-639-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Smiles New Jersey PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Special Smiles New Jersey PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.