Ljiljana Stanisic, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02478100 Issued in NJ

Practice address

1 Wheatley Blvd
Mullica Hill, NJ 08062-9622

Phone

(856) 223-0041

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Main Street Dental - Mullica Hill

  • General Practice Dentistry
  • Mullica Hill, NJ
  • NPI 1295264521
  NPD (past)
• Quaker City Dental

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1396269528
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1992087068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WHEATLEY BLVD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629622",
            "telephone_number": "347-583-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHEATLEY BLVD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629622",
            "telephone_number": "856-223-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Chestnut St",
            "address_2": "1117",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074316",
            "country_code": "US",
            "telephone_number": "215-923-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANISIC",
        "first_name": "LJILJANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02478100",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038761",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02478100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Spair, M.C.D-CCC-SLP/L
• Caesarinne G Sprianu
• Charles Sprigman, D.O.
• Tapati Stalam, M.D.
• Jennifer Stanger, APN
• Cheryl Michelle Starrett-Keller, M.D
• Aliyah Stephens
• Gregory G Stiefel, D.O.
• Fiona Stuart, CRNP
• Surgical Studios LLC

• General Practice Dentistry in Mullica Hill, NJ
• Providers in Mullica Hill, 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 5, 2024; 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.