Anne Pfarrer-Dazen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DI016147 Issued in NJ

Practice address

120 Madison Ave
Mount Holly, NJ 08060-2039

Phone

(609) 267-7323

Fax

(609) 267-8744

NPI assigned

Sep 29, 2008

Last updated

Sep 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 12, 2018 through Aug 12, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• McDonnel&Dazen PA

  • General Practice Dentistry
  • Mount Holly, NJ
  • NPI 1265541296
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1770733578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602039",
            "telephone_number": "609-267-7323",
            "fax_number": "609-267-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602039",
            "telephone_number": "609-267-7323",
            "fax_number": "609-267-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFARRER-DAZEN",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI016147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rose Perice
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• Personalized Independent Living Opporuntities & Training Services (P.I.L.O.T. Services)
• Brenda Lee Peterkin
• Samara Peters, DO
• Phoenix OB GYN Associates, LLC
• Phoenix Treatment Center LLC
• Physician Interpretations of New Jersey
• Brunilda Plaku, CRNA
• Marian Polius-McLean, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.