Organization Active NPI

Greentree Dental Implants and Periodontics LLC

  • Periodontics
  • Marlton, NJ
National Provider Identifier
1700546389
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
GREENTREE DENTAL IMPLANTS AND PERIODONTICS LLC
Practice address
149 Greentree Rd
Marlton, NJ 08053-9602
Phone
(609) 923-5577
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Dr. David R Silver, DMDNPI 1588736011
Title
Partner
Phone
(609) 923-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

149 Greentree Rd
Marlton, NJ 08053-9602

Mailing address

149 Greentree Rd
Marlton, NJ 08053-9602
Phone (609) 923-5577

Other names 1

  • Grenntree Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

149 Greentree Rd
Marlton, NJ 08053
Phone (609) 923-5577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1700546389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 GREENTREE RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539602",
            "telephone_number": "609-923-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 GREENTREE RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539602",
            "telephone_number": "609-923-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE DENTAL IMPLANTS AND PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-923-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grenntree Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.