NPIMap

Organization Active NPI

Haines Family Dental, LLC

  • Dental Clinic/Center
  • Deptford, NJ
National Provider Identifier
1770128423
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HAINES FAMILY DENTAL, LLC
Practice address
1104 Cooper St
Deptford, NJ 08096-3012
Phone
(856) 845-1200
NPI assigned
Nov 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Authorized official

Name
Dr. Gregory Haines Jr., DMDNPI 1144714247
Title
Owner
Phone
(609) 330-3804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1104 Cooper St
Deptford, NJ 08096-3012

Mailing address

1 Pond View Dr Apt E1
Woolwich Township, NJ 08085-5607
Phone (609) 330-3804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573862400000",
    "number": "1770128423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POND VIEW DR APT E1",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080855607",
            "telephone_number": "609-330-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963012",
            "telephone_number": "856-845-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAINES FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2019-11-16",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-330-3804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.