Pennington Dental Associates LLC

Organization Active NPI Dentist · Pennington, NJ

NPI 1740344860 · NPPES record last updated Aug 15, 2014

Key facts

NPI
1740344860
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
22D100961500 (NJ)
Legal business name
PENNINGTON DENTAL ASSOCIATES LLC
Practice address
31 North Main Street
Pennington, NJ 08534
Phone
(609) 737-0288
Fax
(609) 737-7088
NPI assigned
Dec 21, 2006
Organization subpart
No

Authorized official

Name
David H Goodman, DDS
Title
President
Phone
(609) 737-0288

Practitioners 6

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

National Provider Directory

Locations

31 N Main St
Pennington, NJ 08534
Phone (609) 737-0288

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X 22D100961500 NJ Yes
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X

Addresses

Primary practice location

31 North Main Street
Pennington, NJ 08534

Mailing address

31 North Main Street
Pennington, NJ 08534
Phone (609) 737-0288

Other providers in Pennington, NJ

All providers in Pennington, NJ · Dentist in New Jersey

Sources for this page

Verify at the official NPI Registry.