George Buongiovanni, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI1319300 Issued in NJ

Practice address

1508 Wharton Road
Mount Laurel, NJ 08054-5299

Phone

(609) 638-1192

Fax

(856) 985-7761

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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 and National Provider Directory roles.

• Leeco Dental LLC

  • General Practice Dentistry
  • Marlton, NJ
  • NPI 1164453379
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1780814129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WHARTON ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545299",
            "telephone_number": "609-638-1192",
            "fax_number": "856-985-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WHARTON ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545299",
            "telephone_number": "609-638-1192",
            "fax_number": "856-985-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONGIOVANNI",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI1319300",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01319300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendle Bryan, LSW
• Dallas Bryant, LMT
• Mercy D Bryant
• Buckets Full of Health
• Jeremy Michael Budd, DMD
• Lisa Marie Burkholder, LCSW
• Burlington County Orthopaedic Specialists PA
• Burlington County Spine & Rehabilitation LLC
• Emily A. Burns, MD
• Jacqueline Burns, NP

• General Practice Dentistry in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.