Marlton LV Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARLTON LV DENTAL LLC

Practice address

320 Evesboro Medford Rd Ste 101
Marlton, NJ 08053-5733

Phone

(856) 334-6010

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Chris Zadlo

Title

Manager of Operations

Phone

(856) 302-7026

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Martha Beatriz Martinolich, DMD

  • Dentist
  • Marlton, NJ
  • NPI 1851075154
  NPD
• Jessica Micale, DMD

  • General Practice Dentistry
  • Marlton, NJ
  • NPI 1184465122
  NPD
• Allan Wong, DMD

  • General Practice Dentistry
  • Marlton, NJ
  • NPI 1538055439
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1851174064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EVESBORO MEDFORD RD STE 101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535733",
            "telephone_number": "856-334-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EVESBORO MEDFORD RD STE 101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535733",
            "telephone_number": "856-334-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLTON LV DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "ZADLO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS",
        "authorized_official_telephone_number": "856-302-7026"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlton Counseling Center
• Marlton Dentistry LLC
• Marlton Dialysis Center LLC
• Marlton Eye Associates, PC
• Marlton Family Dentistry LLC
• Marlton Medical LLC
• Marlton Nephrology and Hypertension LLC
• Marlton Neurology, PC
• Marlton Supermarket Inc
• Marlton Therapy Group

• General Practice Dentistry in Marlton, NJ
• Providers in Marlton, 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 14, 2023; 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.