Howard J Pactovis

Primary specialty

DentistTaxonomy code 122300000X

License

12904 Issued in MA

Practice address

77 Garland LN
Willingboro, NJ 08046-3011

Phone

(609) 880-0082

NPI assigned

Jan 9, 2019

Last updated

Jan 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Super Smiles Dentistry for Children, PC

  • Pediatric Dentistry
  • Willingboro, NJ
  • NPI 1275937872
  Authorized official Same address or phone

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1720551906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WIMBLEDON CT",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019383026",
            "telephone_number": "339-927-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GARLAND LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463011",
            "telephone_number": "609-880-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACTOVIS",
        "first_name": "HOWARD",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "12904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ollmc Neonatal Associates
• Omnigenesis Healthcare Services LLC
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• Fred Oppong-Ntow
• Origin LLC
• Parris Construction LLC
• Parris Janitorial Services LLC
• Parris Superior Home Care
• Michael Jeffrey Partnow, MD
• Britt J. Parvus, DO

• Dentist in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.