Active NPI
Sullivan Turner LLC
- Dentist
- Somerdale, NJ
National Provider Identifier
1760525620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15377
- Legal business name
- SULLIVAN TURNER LLC
- Practice address
- 736 W Somerdale Rd
Somerdale, NJ 08083-2443 - Phone
- (856) 787-3440
- Fax
- (856) 627-8225
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Catherine M Flexon
- Title
- Office Administrator
- Phone
- (856) 784-3440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15377 | NJ | Primary |
| Dentist | 122300000X | 19794 | NJ |
Addresses
Primary practice location
736 W Somerdale Rd
Somerdale, NJ 08083-2443
Mailing address
736 W Somerdale Rd
Somerdale, NJ 08083-2443
Phone (856) 787-3440
National Provider Directory
National Provider DirectoryLocations
736 W Somerdale Rd
Somerdale, NJ 08083
Phone (856) 784-3440
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.
-
- General Practice Dentistry
- Somerdale, NJ
- NPI 1942311295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760525620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 W SOMERDALE RD",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080832443",
"telephone_number": "856-787-3440",
"fax_number": "856-627-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 W SOMERDALE RD",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080832443",
"telephone_number": "856-787-3440",
"fax_number": "856-627-8225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULLIVAN TURNER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLEXON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "856-784-3440",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "15377",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "19794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.