Klddmd1Pc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KLDDMD1PC

Practice address

1908 Kings Hwy
Swedesboro, NJ 08085-1638

Phone

(856) 467-1900

Fax

(856) 467-8435

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Debra Baals, RDH

Title

Manager

Phone

(856) 467-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1982389359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080850128",
            "telephone_number": "856-467-1900",
            "fax_number": "856-467-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 KINGS HWY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851638",
            "telephone_number": "856-467-1900",
            "fax_number": "856-467-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLDDMD1PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "BAALS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-467-1900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karampreet Kaur, MD
• Kennedy Medical Group
• Emma Kerr, PA-C
• Elizabeth Kilpatrick-Fox, D.M.D.
• Kingdom Living
• Kristen Marie Kreutzberg, LAC
• Joshua Krysiak, PHARMD
• Rebecca Colona Lafleur, LPC
• Heather Laigaie
• Taylor Laux, M.A., CCC-SLP

• General Practice Dentistry in Swedesboro, NJ
• Providers in Swedesboro, 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 Jun 21, 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.