Pediatric Dentistry of Mullica Hill, Limited Liability Company

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02344100 Issued in NJ

Legal business name

PEDIATRIC DENTISTRY OF MULLICA HILL, LIMITED LIABILITY COMPANY

Practice address

4 Burton LN
Suite 400
Mullica Hill, NJ 08062-9422

Phone

(856) 842-5400

Fax

(856) 842-5220

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marc Albano, DDSNPI 1477763548

Title

Member

Phone

(609) 238-2853

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.

• Marc L Albano, D.D.S.

  • Pediatric Dentistry
  • Mullica Hill, NJ
  • NPI 1477763548
  NPD (past) Authorized official
• Joni Cheung, DDS

  • Pediatric Dentistry
  • Mullica Hill, NJ
  • NPI 1184301020
  NPD (past)
• Marina Kristin Kanakos

  • Pediatric Dentistry
  • Mullica Hill, NJ
  • NPI 1962088278
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1992189179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURTON LN",
            "address_2": "SUITE 400",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629422",
            "telephone_number": "856-842-5400",
            "fax_number": "856-842-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURTON LN",
            "address_2": "SUITE 400",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629422",
            "telephone_number": "856-842-5400",
            "fax_number": "856-842-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF MULLICA HILL, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "ALBANO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-238-2853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02344100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puja G Patel, DO
• Rikin Patel, DO
• Tejas Kirit Patel, DO (MEDICAL STUDENT)
• Harrison A Patrizio, DO
• Amita Paudel, MD
• Perfect Care Rehab Services
• Joanna Petrides, PSY.D.
• Huy Phan
• Samantha Michele Pharo, DO
• Lincy A Philip, MD

• Pediatric Dentistry in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.