South Jersey Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02315200 Issued in NJ

Legal business name

SOUTH JERSEY FAMILY DENTAL LLC

Practice address

366 Lincoln Ave N
Cherry Hill, NJ 08002-2343

Phone

(973) 563-9860

NPI assigned

Oct 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Baqir JafferyNPI 1649446063

Title

Dentist

Phone

(973) 563-9860

Specialties & licenses 1

Addresses

Practitioners 1

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

• Baqir Jaffery, DMD

  • Dentist
  • Cherry Hill, NJ
  • NPI 1649446063
  NPD (past) Authorized official

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1790189975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 LINCOLN AVE N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022343",
            "telephone_number": "973-563-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 LINCOLN AVE N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022343",
            "telephone_number": "973-563-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "JAFFERY",
        "authorized_official_first_name": "BAQIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-563-9860",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02315200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Center for Inflammatory Disease'S
• South Jersey Dental Studio LLC
• South Jersey Developmental Pediatrics LLC
• South Jersey Ear Nose & Throat Associates P a
• South Jersey Endodontics, PA
• South Jersey Geriatric Care, PC
• South Jersey Health & Wellness
• South Jersey Health & Wellness Center
• South Jersey Heart Group, PC
• South Jersey Imaging Associates Inc

• Dentist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.