Organization Active NPI

Advanced Dental Associates LLC

  • General Practice Dentistry
  • Somers Point, NJ
National Provider Identifier
1790909307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANCED DENTAL ASSOCIATES LLC
Practice address
98 Route 9
Suite 4
Somers Point, NJ 08244
Phone
(609) 601-9300
Fax
(609) 601-2878
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. B Sean McIntyre, DMD
Title
Owner
Phone
(609) 601-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

98 Route 9
Suite 4
Somers Point, NJ 08244

Mailing address

98 Route 9
Suite 4
Somers Point, NJ 08244
Phone (609) 601-9300

National Provider Directory

National Provider Directory

Locations

98 Route 9
Ste 4
Somers Point, NJ 08244
Phone (609) 601-9300

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790909307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ROUTE 9",
            "address_2": "SUITE 4",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-601-9300",
            "fax_number": "609-601-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ROUTE 9",
            "address_2": "SUITE 4",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-601-9300",
            "fax_number": "609-601-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "B SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-601-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.