Active NPI
Dental Professionals of Moorestown LLC
- Dentist
- Moorestown, NJ
National Provider Identifier
1689357014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL PROFESSIONALS OF MOORESTOWN LLC
- Practice address
- 517 Pleasant Valley Ave
Moorestown, NJ 08057-3209 - Phone
- (856) 234-4474
- NPI assigned
- Aug 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Johnson
- Title
- Cro
- Phone
- (941) 444-0558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
517 Pleasant Valley Ave
Moorestown, NJ 08057-3209
Mailing address
517 Pleasant Valley Ave
Moorestown, NJ 08057-3209
Phone (856) 234-4474
Other names 1
- Dental Care Alliance
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Moorestown, NJ
- NPI 1245249903
-
- General Practice Dentistry
- Moorestown, NJ
- NPI 1972514313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1689357014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 PLEASANT VALLEY AVE",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573209",
"telephone_number": "856-234-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 PLEASANT VALLEY AVE",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573209",
"telephone_number": "856-234-4474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PROFESSIONALS OF MOORESTOWN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-11",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "CRO",
"authorized_official_telephone_number": "941-444-0558"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Care Alliance",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.