DR. DAVID R EDENBAUM (NPI# 1033300272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033300272 |
| Entity Type | Individual |
| Full Name | DR. DAVID R EDENBAUM |
| Credential | DMD |
| Practice Address |
560 A Lippincott Drive Bldg B Marlton NJ 08035 |
| Practice Telephone | 8569851800 |
| Practice Fax Number | 8569857170 |
| Mailing Telephone | 8569851800 |
| Mailing Fax Number | 8569857170 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DI 17491 | NJ | Dental Providers |
| Street Address |
560 A LIPPINCOTT DRIVE BLDG B |
| City | MARLTON |
| State | NJ |
| Zip Code | 08035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344738 | Family Skin Care Center LLC | Dermatology | 17 White Horse Pike Suite 10b, Haddon Height, NJ 08035 | 2017-09-04 |
| 1316473812 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1214 S. Park Ave, Haddon Heights, NJ 08035 | 2017-05-04 |
| 1871853887 | Daniel Edward Erickson | Specialist/Technologist | 525 4th Avenue, Haddon Heights, NJ 08035 | 2012-05-23 |
| 1659567220 | Ralph G Cataldo | Pain Medicine | 15-17 Black Horse Pike, Ralph G Cataldo Do Pa, Haddon Heights, NJ 08035 | 2007-09-18 |
| 1912047960 | Celeste R Appleby | Specialist | 116 White Horse Pike, Haddon Heights, NJ 08035 | 2007-02-07 |
| 1740365675 | Robert J Risimini | Family Medicine | Cooper Family Medicine-504 White Horse Pike, Haddon Heights, NJ 08035 | 2006-10-26 |
| 1710997598 | Hanna Haynes | Dentist | 801 Station Ave, Haddon Heights, NJ 08035 | 2006-08-08 |
| 1841207602 | Thomas J Flaherty | Counselor | 6 White Horse Pike, Ste 1b, Haddon Hts, NJ 08035 | 2006-08-02 |
| 1811920622 | Alan Roy Swiecicki | Surgery | 1000 Kings Highway, Haddon Heights, NJ 08035 | 2006-07-08 |
| 1902846835 | Henry Ellinger Bruce Jr. | Chiropractor | 708 Station Avenue, Haddon Heights, NJ 08035 | 2006-06-08 |
| Find all providers in zip 08035 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427115161 | Gail Gerard Childers | Dentist | 48 South Maple Avenue, Marlton, NJ 08053 | 2007-01-02 |
| 1275699316 | Charles P Procini | Dentist | 9001 Lincoln Dr W Ste B, Route 73, Marlton, NJ 08053-3202 | 2006-12-30 |
| 1588736011 | David Silver | Dentist | 149 E. Greentree Rd, Marlton, NJ 08053 | 2006-11-13 |
| 1588677595 | Seyed M. Shamseddin, Dds, LLC | Dentist | 9002 Lincoln Dr W Ste H, Marlton, NJ 08053-3204 | 2006-08-14 |
| 1609932748 | Charles P Procini Dds Pa | Dentist | 9001 Lincoln Dr W Ste B, Route 73, Marlton, NJ 08053-3202 | 2006-12-30 |
| 1265445274 | Seyed Shamseddin | Dentist | 9002 Lincoln Dr W Ste H, Marlton, NJ 08053-3204 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.