Premiere Dental of West Deptford

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIERE DENTAL OF WEST DEPTFORD

Practice address

800 Jessup Rd Ste 805
West Deptford, NJ 08086-9354

Phone

(856) 845-3299

Fax

(856) 845-5342

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Alon Bekerman, DMD

Title

Dentist/Owner

Phone

(407) 463-0565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1689443210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JESSUP RD STE 805",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080869354",
            "telephone_number": "856-845-3299",
            "fax_number": "856-845-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JESSUP RD STE 805",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080869354",
            "telephone_number": "856-845-3299",
            "fax_number": "856-845-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE DENTAL OF WEST DEPTFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BEKERMAN",
        "authorized_official_first_name": "ALON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "407-463-0565",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Perez, DMD
• Jeffrey Petrozzino, MD
• Premier Brain and Spine, LLC (Redefine Healthcare)
• Premier Orthopaedic & Sports Medicine Assoc of Southern NJ LLC
• Premiere Dental NJ Associates PC
• Pro Chiropractic LLC
• Eli Prowe, D.C.
• Jennifer Quimby, ME.D., BCBA
• Austin Redfearn
• Kelly Redkoles

• General Practice Dentistry in West Deptford, NJ
• Providers in West Deptford, 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 Dec 22, 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.