Haddon Lake Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DS040816 Issued in PA

Legal business name

HADDON LAKE DENTAL

Doing business as

Pennslanding Dental

Practice address

51 W Kings Hwy
Mount Ephraim, NJ 08059-1304

Phone

(856) 931-5255

NPI assigned

Jun 14, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sunghun Kim, DDSNPI 1114168994

Title

Dentist

Phone

(856) 931-5255

Specialties & licenses 1

Addresses

Other names 1

• Pennslanding Dental Doing business as

Practitioners 2

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.

• Sunghun Kim, DMD

  • General Practice Dentistry
  • Mount Ephraim, NJ
  • NPI 1114168994
  NPD (past) Authorized official
• Renato Richard Latini, D.D.S.

  • General Practice Dentistry
  • Mount Ephraim, NJ
  • NPI 1417027228
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1740630367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W KINGS HWY",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591304",
            "telephone_number": "856-931-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W KINGS HWY",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591304",
            "telephone_number": "856-931-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON LAKE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGHUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "856-931-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennslanding Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Darnley, LSW, LCADC
• David a. Bond,DMD, PA
• Sean K Eang, PHARM. D
• Footcare Home Visits
• Jade Marie Gray, D.P.M.
• Khanh Hodoan, PHARMD
• Robert Hojnowski, R.PH.
• Eileen Marie Iacaruso, RPH
• Lindsay Anne Idler
• Integrity Home Care Services

• Dentist in Mount Ephraim, NJ
• Providers in Mount Ephraim, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.