Organization Active NPI

Dental Care of New Jersey, LLC

  • General Practice Dentistry
  • Sewell, NJ
National Provider Identifier
1982085510
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18248 Issued in NJ
Legal business name
DENTAL CARE OF NEW JERSEY, LLC
Practice address
304 Hurffville Crosskeys Rd
Suite 1
Sewell, NJ 08080-9202
Phone
(856) 899-5806
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Jeff Bates
Title
Cfo
Phone
(856) 899-5806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18248 NJ Primary

Addresses

Primary practice location

304 Hurffville Crosskeys Rd
Suite 1
Sewell, NJ 08080-9202

Mailing address

1500 S Lincoln Ave
Vineland, NJ 08361-6610
Phone (856) 899-5806

National Provider Directory

National Provider Directory

Locations

304 Hurffville Crosskeys Rd
#1
Sewell, NJ 08080
Phone (856) 899-5806

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1982085510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LINCOLN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616610",
            "telephone_number": "856-899-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809202",
            "telephone_number": "856-899-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-899-5806"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.