MEDFORD CHILDREN'S DENTAL CENTER, PC (NPI# 1114200912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114200912 |
| Entity Type | Organization |
| Organization Name | MEDFORD CHILDREN'S DENTAL CENTER, PC |
| Other Organization Name | A-OK CHILDREN'S DENTISTRY, PC |
| Practice Address |
520 Stokes Rd Suite B 18 Medford NJ 08055-2904 |
| Mailing Address |
1221 N Church St Suite 201 Moorestown NJ 08057-1245 |
| Practice Telephone | 6096541141 |
| Mailing Telephone | 8562350020 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | DR. GEORGE DIERNA (OWNER) |
| Authorized Official Telephone | 6096541141 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| A-OK Children's Dentistry, PC | Doing Business As Name - Organization |
| Street Address |
520 STOKES RD SUITE B 18 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265416317 | South Jersey Neurocare Pa | Psychiatry & Neurology | 520 Stokes Rd, Suite A-4, Medford, NJ 08055-2904 | 2005-12-02 |
| 1861623977 | Elizabeth M. Raymond | Psychologist | 520 Stokes Rd, Suite B6, Medford, NJ 08055-2904 | 2009-08-06 |
| 1366618308 | Michael John Adornetto | Social Worker | 520 Stokes Rd, Suite C-4, Medford, NJ 08055-2904 | 2008-04-30 |
| 1235229485 | Erika E Ryan | Psychologist | 520 Stokes Rd, Ironstone Building A6, Medford, NJ 08055-2904 | 2006-10-16 |
| 1750489068 | Peter Duca | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-09-20 |
| 1639286115 | Peter R. Duca, Jr., Dmd PC | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-08-23 |
| 1811002025 | Jason Okuley | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-08-20 |
| 1306951546 | Suburban Family Dental PC | Dentist | 520 Stokes Rd, Building B-18, Medford, NJ 08055-2904 | 2006-08-20 |
| 1659383602 | Advocare, LLC | Pediatrics | 520 Stokes Rd, Bldg. B10, Medford, NJ 08055-2904 | 2006-08-11 |
| 1649211327 | Lawrence Frank Vernamonti | Optometrist | 520 Stokes Rd, Suite B4, Medford, NJ 08055-2904 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619476058 | Kathryn Irene Vitiello | Dentist | 72 Woburn St, Medford, MA 02155-3419 | 2018-02-11 |
| 1962777193 | Anne H Dennehy Dds | Dentist | 801 E Main St Ste 101, Medford, OR 97504-7169 | 2012-03-21 |
| 1164567624 | Scott Louis Goldstein | Dentist | 1719 N Ocean Ave Ste C, Medford, NY 11763-2669 | 2007-02-21 |
| 1306945381 | Pamela J Ortiz | Dentist | 691 Murphy Rd Suite 210, Medford, OR 97504 | 2006-09-22 |
| 1932199163 | David M Alex | Dentist | 1291 E Mcandrews Rd, Medford, OR 97504-6103 | 2005-10-27 |
| 1356334254 | Steven Alan Frimkess | Dentist | 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 | 2005-08-25 |
| 1427058296 | Anne Heubach Dennehy | Dentist | 801 E Main St, Suite 101, Medford, OR 97504-7169 | 2005-07-22 |
| 1598262818 | James Kolby Robinson, Dmd | Dentist | 1291 E Mcandrews Rd, Medford, OR 97504-6103 | 2018-04-12 |
| 1154711687 | David M Alex Dds PC | Dentist | 1291 E Mcandrews Rd, Medford, OR 97504-6103 | 2015-02-05 |
| 1396085221 | Bren Dixon Dmd LLC | Dentist | 1150 Crater Lake Ave, Suite C, Medford, OR 97504-6213 | 2013-03-01 |
| Find all providers in MEDFORD | ||||
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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.