Active NPI
Alfred D Dennis, D.M.D.
- Dentist
- Willingboro, NJ
National Provider Identifier
1821118217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI16782
- Practice address
- 63 Garrett LN
Willingboro, NJ 08046-3056 - Phone
- (609) 871-0900
- Fax
- (609) 835-4065
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI16782 | NJ | Primary |
Addresses
Primary practice location
63 Garrett LN
Willingboro, NJ 08046-3056
Mailing address
63 Garrett LN
Willingboro, NJ 08046-3056
Phone (609) 871-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI16782 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Consultants, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1841273869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821118217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GARRETT LN",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080463056",
"telephone_number": "609-871-0900",
"fax_number": "609-835-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 GARRETT LN",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080463056",
"telephone_number": "609-871-0900",
"fax_number": "609-835-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "ALFRED",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI16782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.