DM Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22D102677800 Issued in NJ

Legal business name

DM PEDIATRIC DENTISTRY LLC

Practice address

2800 Route 130 N
Suite 108
Cinnaminson, NJ 08077

Phone

(856) 786-1881

Fax

(856) 786-5233

NPI assigned

Oct 16, 2017

Last updated

Oct 16, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

DM PEDIATRIC DENTISTRY LLCAs reported in NPPES

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

Authorized official

Name

Spencer Saint-Cyr, DMD

Title

Owner

Phone

(856) 786-1881

Specialties & licenses 1

Addresses

Part of

DM Pediatric Dentistry LLC

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1801307046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN DRIVE EAST",
            "address_2": "SUITE 3A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-786-1881",
            "fax_number": "856-786-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROUTE 130 N",
            "address_2": "SUITE 108",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-786-1881",
            "fax_number": "856-786-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DM PEDIATRIC DENTISTRY LLC",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "SAINT-CYR",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-786-1881",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22D102677800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Diffenbaugh, L.P.C.
• Marisa Dileo, MA, LAC
• Shannon Leigh Dileo, PA-C
• Catherine Mary Dirr, RN
• Charmane Diana Dixon-Murriell, RN,APN,C
• Adrianne Doganieri, M.S. CCC-SLP
• Bridget Caitlin Donachie
• Ronald Allen Donato Jr., D.C.
• Joseph F Dougherty, M.D.
• Dr.Sandra T.West, LLC

• Pediatric Dentistry in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.