Dag GC PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAG GC PA

Doing business as

Dental Arts Group Gloucester City

Practice address

535 Monmouth St
Gloucester City, NJ 08030-1502

Phone

(856) 456-2682

Fax

(856) 456-4668

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafaela Nedelea

Title

Billing Manager

Phone

(267) 334-0082

Specialties & licenses 1

Addresses

Other names 1

• Dental Arts Group Gloucester City Doing business as

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1689256901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MONMOUTH ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301502",
            "telephone_number": "856-456-2682",
            "fax_number": "856-456-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MONMOUTH ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301502",
            "telephone_number": "856-456-2682",
            "fax_number": "856-456-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAG GC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "NEDELEA",
        "authorized_official_first_name": "RAFAELA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "267-334-0082"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts Group Gloucester City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Gloucester City
• CMC Dept of Medicine Group PA
• Community Chiropractic Center
• Cooper Physician Offices
• Crowned Communities (Crowned Community Foundation)
• Shawanna Indoneshia Dilworth
• Divine Home Health Care Agency LLC
• Latoyria Djanie, CAC
• Jerry Dorestant
• Dr. Irving J. Klein,PA

• General Practice Dentistry in Gloucester City, NJ
• Providers in Gloucester City, 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 Apr 26, 2021; 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.