MARIANA C ELWELL DDS FAGD PC (NPI# 1306322086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306322086 |
| Entity Type | Organization |
| Organization Name | MARIANA C ELWELL DDS FAGD PC |
| Practice Address |
6 Atlantic St Bridgeton NJ 08302-1829 |
| Mailing Address |
3129 Country Ln Vineland NJ 08361-8634 |
| Practice Telephone | 8564554095 |
| Practice Fax Number | 8564555292 |
| Mailing Telephone | 8565069351 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | DR. MARIANA C ELWELL (PRESIDENT) |
| Authorized Official Telephone | 8564554095 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02582800 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1265421986 | 01 |
| Street Address |
6 ATLANTIC ST |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083055727 | Betty Jo Simas, Dmd, LLC | Clinic/Center | 6 Atlantic St, Bridgeton, NJ 08302-1829 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336270495 | John Mcglynn | Dentist | 1117 Highway 77 Ste B, Bridgeton, NJ 08302-3650 | 2007-03-08 |
| 1477683266 | James T Moore | Dentist | 11520 Saint Charles Rock Rd, Suite 205, Bridgeton, MO 63044-2732 | 2007-03-07 |
| 1134265879 | Robert B Bookman | Dentist | 233 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2007-01-29 |
| 1114022803 | Steven L Rasner | Dentist | 1055 N Pearl St, Bridgeton, NJ 08302-1211 | 2006-09-14 |
| 1477580413 | Samuel Watts Feinstein | Dentist | 15 Franklin St, Bridgeton, NJ 08302-1809 | 2006-06-26 |
| 1780675132 | Aronda R Jones | Dentist | 11726 St Charles Rock Road, Suite L, Bridgeton, MO 63044 | 2005-11-03 |
| 1124015375 | Christopher F Dowling | Dentist | 12758 Boenker Ln, Bridgeton, MO 63044-2436 | 2005-10-03 |
| 1073175790 | Tuan Thai | Dentist | 12221 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2019-07-02 |
| 1528572435 | Herbst Dmd LLC | Dentist | 12221 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2017-11-30 |
| 1649693144 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 12758 Boenker Ln, Bridgeton, MO 63044-2436 | 2014-02-04 |
| Find all providers in BRIDGETON | ||||
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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.