ADVANCED DENTAL OF WOOLWICH (NPI# 1144595356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144595356 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL OF WOOLWICH |
| Practice Address |
1630 Rt 322 Suite F Woolwich NJ 08085 |
| Practice Telephone | 8568324480 |
| Mailing Telephone | 8568324480 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | DR. LADERRICK BULLOCK (OWNER) |
| Authorized Official Telephone | 8568324480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DIO2196800 | NJ | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DIO2146400 | NJ | Dental Providers |
| Street Address |
1630 RT 322 SUITE F |
| City | WOOLWICH |
| State | NJ |
| Zip Code | 08085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361402 | Jennifer M Carson | Licensed Practical Nurse | 212 Copper Road, Swedesboro, NJ 08085 | 2019-11-21 |
| 1699265132 | Zachariah G Smith | Nurse Practitioner | 499 Beckett Rd Ste 201, Logan Twp, NJ 08085 | 2018-05-10 |
| 1295251767 | Tierra J Brown | Social Worker | 1 Pondview Drive, K206, Woolwich Township, NJ 08085 | 2017-08-16 |
| 1861817967 | Aktep Behavioral LLC | Counselor | 701 Worthington Dr., Moorestown, NJ 08085 | 2014-02-26 |
| 1043539588 | Suzanne Christine Foster-wolfe | Counselor | 318 Forrest Ln, Swedesboro, NJ 08085 | 2010-05-24 |
| 1902058639 | Helene Loubeau-magnet | Family Medicine | 134 Maple Hill Drive, Swedesboro, NJ 08085 | 2008-10-13 |
| 1447390299 | Leslie Alan Hess | Podiatrist | 300 Lexington Rd, Bldg. B Suite 230, Hess Ankle & Foot Center, Swedesboro, NJ 08085 | 2007-02-08 |
| 1205920162 | Bomze Westonpediatric Dentistry Associates | Dentist | 9 E. Main Street, Moorestown, NJ 08085 | 2006-10-03 |
| 1609807288 | Beckett Family Practice | Family Medicine | 545 Beckett Rd., Suite 806, Logan Twp., NJ 08085 | 2006-07-05 |
| 1316993934 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 1619 Center Square Rd, Swedesboro, NJ 08085 | 2006-05-25 |
| Find all providers in zip 08085 | ||||
| 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 |
|---|---|---|---|---|
| 1508481565 | Kids First Pediatric Dentistry LLC | Dentist | 740 Marne Hwy Ste 103, Moorestown, NJ 08057-3126 | 2020-06-15 |
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1558831370 | Amazing Smiles Dentistry for Children, Pa | Dentist | 160 Mountain Ave Ste 101, Hackettstown, NJ 07840-2324 | 2018-12-05 |
| 1063915403 | Singh and Smile Pediatric Dentistry | Dentist | 180 South St Ste 104, New Providence, NJ 07974-1991 | 2018-03-12 |
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1972026144 | Otto M Choi Dds, PC | Dentist | 345 Old Hook Rd, Westwood, NJ 07675-3201 | 2017-07-19 |
| 1386175149 | William Christian Bertram Desonne | Dentist | 1692 Clements Bridge Rd, Deptford, NJ 08096-3028 | 2017-03-23 |
| 1295275758 | Anjali Soni | Dentist | 1910 East Route 70, Ste 9, Cherry Hill, NJ 08003 | 2017-03-03 |
| 1821542176 | Amy R Patel | Dentist | 191 Rte 206 Ste 11, Flanders, NJ 07836-9002 | 2016-08-03 |
| 1891248647 | Lyndhurst Pediatric Dentistry, LLC | Dentist | 710 Ridge Rd, Lyndhurst, NJ 07071-3224 | 2016-07-28 |
| 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.