David T Bolger, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01565400 Issued in NJ

Practice address

6816 Ventnor Ave
Ventnor City, NJ 08406

Phone

(609) 823-6100

Fax

(609) 823-4336

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legend Dental LLC

  • General Practice Dentistry
  • Ventnor City, NJ
  • NPI 1306349386
  NPD (past)
• Shoreline General Dentistry

  • General Practice Dentistry
  • Ventnor City, NJ
  • NPI 1750271342
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1770548240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 VENTNOR AE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "08406",
            "telephone_number": "609-823-6100",
            "fax_number": "609-823-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "08406",
            "telephone_number": "609-823-6100",
            "fax_number": "609-823-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGER",
        "first_name": "DAVID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01565400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Peter Alexander, M.D., MBA
• Akilandanayaki Angamuthu, MD
• Atlanticare Health Services, Inc.
• Atlanticare Physician Group
• Robert Barlia, R.PH.
• Joshua R Braunstein, D.D.S.
• Kimberly R Brennan, APN
• Patricia Brick, PT
• Patricia Bruder
• Samar Samir Bursheh, M.D.

• All providers in Ventnor City, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.