MOORESTOWN SMILE CENTER (NPI# 1386187714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386187714 |
| Entity Type | Organization |
| Organization Name | MOORESTOWN SMILE CENTER |
| Practice Address |
740 Marne Hwy Suit 106 Moorestown NJ 08057-3126 |
| Practice Telephone | 8566385266 |
| Practice Fax Number | 8566385355 |
| Mailing Telephone | 8566385266 |
| Mailing Fax Number | 8566385355 |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2016-12-03 |
| Authorized Official Name | DR. ALIYA KHAN (OWNER) |
| Authorized Official Telephone | 8566385266 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02282300 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIUAL NPI | 1942370143 | 01 |
| Street Address |
740 MARNE HWY SUIT 106 |
| City | MOORESTOWN |
| State | NJ |
| Zip Code | 08057-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023098225 | Isabel Hilary Pettigrew | Family Medicine | 740 Marne Hwy, Ste 206, Moorestown, NJ 08057-3126 | 2006-01-23 |
| 1194187187 | Timothy Baker | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2016-03-28 |
| 1811357148 | Michael Butsick | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2016-02-29 |
| 1235595646 | Amanda Steward | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2016-01-14 |
| 1912370271 | Matthew Koster | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2015-11-09 |
| 1003286188 | Andrew Lotocki | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2015-10-01 |
| 1740657964 | Strive Physical Therapy and Sports Rehabilitation, LLC | Occupational Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2015-08-24 |
| 1386024578 | Abigail Dingle | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2015-06-03 |
| 1760878102 | Kelly Larocca | Nurse Practitioner | 740 Marne Hwy, Suite 206, Moorestown, NJ 08057-3126 | 2015-04-13 |
| 1295124162 | Andrew Parkin | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2015-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209074 | Raquel Maria Screnci | Physical Therapy Assistant | Powerback, 212 Marter Avenue, Moorestown, NJ 08057 | 2020-03-06 |
| 1801363544 | Acts Signature Community Services, Inc. | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-10-31 |
| 1427547447 | Bpt Physical Therapy LLC | Clinic/Center | 341 New Albany Rd Ste 120, Moorestown, NJ 08057 | 2018-05-04 |
| 1912416363 | Gold Bear Shuttle | Bus | 300 Mill Street, Moorestown, NJ 08057 | 2017-09-28 |
| 1811422595 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Janeway Ave, Delran, NJ 08057 | 2017-05-01 |
| 1972050789 | Therapeutic Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 West Route 38, Suite 210, Moorestown, NJ 08057 | 2016-09-09 |
| 1740653088 | Cathleen Wright | Acupuncturist | 505 South Lenola Road, Suite 121, Moorestown, NJ 08057 | 2015-11-09 |
| 1720469521 | Alexander's Vision Community Services, LLC | Supports Brokerage | 118 Oakmont Drive, Moorestown, NJ 08057 | 2015-06-17 |
| 1588045835 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 740a Bellevue Ave, Hammonton, NJ 08057 | 2015-06-12 |
| 1164818134 | Rebecca Lynn Martz | Family Medicine | 740 Marne Hwy Ste 206, Moorestown, NJ 08057 | 2015-04-07 |
| Find all providers in zip 08057 | ||||
| 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 |
|---|---|---|---|---|
| 1124347216 | Amar B Patel | Dentist | 229 Demarest Rd, Moorestown, NJ 08057-1303 | 2010-05-27 |
| 1801961495 | Frank Lammerding Dmd,pa | Dentist | 301 Dawson St, Moorestown, NJ 08057-2420 | 2006-11-21 |
| 1821017609 | Joseph A Perrone | Dentist | 800 N Church St, Suite 101, Moorestown, NJ 08057-1744 | 2006-07-19 |
| 1679522502 | Ghina C Maliha | Dentist | 302 N Washington Ave, Suite 102 W, Moorestown, NJ 08057-2448 | 2006-05-08 |
| 1760449805 | Charles M. Esposito | Dentist | 220 Schooley St, Moorestown, NJ 08057-2957 | 2006-05-01 |
| 1902895147 | Mark S Walker | Dentist | 285 S Church St, Suite 8, Moorestown, NJ 08057-2773 | 2005-10-20 |
| 1477556470 | Phyllis Horning Detwiler | Dentist | 110 Marter Ave, Suite 204, Moorestown, NJ 08057-3124 | 2005-05-23 |
| 1316574825 | South Jersey Dental Care | Dentist | 212 W Route 38, Suite 500, Moorestown, NJ 08057 | 2020-03-25 |
| 1700202462 | Dental Associates of Moorestown | Dentist | 285 S Church St, Moorestown, NJ 08057-2773 | 2014-03-05 |
| 1134486202 | Theodore F Zerbe | Dentist | 701 E Main St, Moorestown, NJ 08057-3032 | 2012-04-13 |
| Find all providers in MOORESTOWN | ||||
| City | MOORESTOWN |
| Zip Code | 08057 |
Please comment or provide details below to improve the information on MOORESTOWN SMILE CENTER.
| 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.