NPIMap

Organization Active NPI

Cross Keys Family Dental PA

  • General Practice Dentistry
  • Turnersville, NJ
National Provider Identifier
1710171590
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI017432 Issued in NJ
Legal business name
CROSS KEYS FAMILY DENTAL PA
Practice address
3501 Route 42
Turnersville, NJ 08012-1752
Phone
(732) 914-1039
Fax
(732) 914-8472
NPI assigned
Sep 5, 2007
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Edward Poller, DDSNPI 1780660803
Title
Owner
Phone
(732) 914-1039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI017432 NJ Primary

Addresses

Primary practice location

3501 Route 42
Turnersville, NJ 08012-1752

Mailing address

3501 Route 42
Turnersville, NJ 08012-1752
Phone (732) 914-1039

National Provider Directory

National Provider Directory

Locations

3501 Route 42
Turnersville, NJ 08012
Phone (856) 629-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1710171590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ROUTE 42",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121752",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ROUTE 42",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121752",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS KEYS FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "POLLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-914-1039",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.