Acorn Dental Sleep Medicine Centers Limited Liability Company

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI00903200 Issued in NJ

Legal business name

ACORN DENTAL SLEEP MEDICINE CENTERS LIMITED LIABILITY COMPANY

Practice address

100 Centre Blvd
Suite J
Marlton, NJ 08053-4128

Phone

(856) 983-0060

Fax

(856) 983-3356

NPI assigned

Sep 24, 2014

Last updated

Sep 24, 2014By 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

Frederick R Van Istendal Jr., D.D.S.

Title

Owner

Phone

(856) 983-0060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1750783585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRE BLVD",
            "address_2": "SUITE J",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-983-0060",
            "fax_number": "856-983-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRE BLVD",
            "address_2": "SUITE J",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-983-0060",
            "fax_number": "856-983-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN DENTAL SLEEP MEDICINE CENTERS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "VAN ISTENDAL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-983-0060",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI00903200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accel Pediatrics, P.a.
• Frank Acchione Jr., CRNA
• Acclaim Autism LLC
• Acic Associates
• Acorn Dental Associates
• Melissa Acquavella-Lightfoot, PSY.D.
• Active Health Marlton LLC (Active Joint and Spine Institute)
• Active Rehabilitation P.C.
• Thamar Adams, APN
• Teresa Addiego, DMD

• Dental Clinic/Center in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.