PERIODONTAL CONSULTANTS, PA


Address: 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003
Phone: 8564284746

PERIODONTAL CONSULTANTS, PA (NPI# 1417502378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417502378
Entity Type Organization
Organization Name PERIODONTAL CONSULTANTS, PA
Practice Address 1910 East Marlton Pike
The Atrium Suite #2
Cherry Hill
NJ 08003
Practice Telephone 8564284746
Practice Fax Number 8567513975
Mailing Telephone 8564284746
Mailing Fax Number 8567513975
Enumeration Date 2019-08-07
Last Update Date 2019-08-07
Authorized Official Name RAFAELA AGOSTO (DIRECTOR)
Authorized Official Telephone 2673340082
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ BUSINESS IDENTIFICATION NUMBER 0101051655 01

Office Location

Street Address 1910 EAST MARLTON PIKE
THE ATRIUM SUITE #2
City CHERRY HILL
State NJ
Zip Code 08003

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528695483 Yvonne Lee Registered Nurse Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 2020-03-23
1639717945 Nancy Sue Epstein Occupational Therapist 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 2019-12-17
1346885126 Martin Igoe Nurse Practitioner 1865 Rt 70 East, Cherry Hill, NJ 08003 2019-11-15
1881242840 Emily Lott Nurse Practitioner 1865 Rte 70 E, Cherry Hill, NJ 08003 2019-09-03
1497229439 Laura Marozzi Lactation Consultant, Non-RN 7 Summer Pl, Cherry Hill, NJ 08003 2019-01-12
1104328319 Amanda Butto Counselor 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 2018-03-03
1073043857 Sara Cox Behavioral Analyst 425 Old Orchard Road, Cherry Hill, NJ 08003 2017-06-14
1912433731 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 527 Balsam Rd, Cherry Hill, NJ 08003 2017-05-11
1366978181 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 102 Evans Lane, Cherry Hill, NJ 08003 2017-05-11
1255867073 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 802 Marlowe Rd, Cherry Hill, NJ 08003 2017-05-11
Find all providers in zip 08003

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043457401 Shahin Kazemi Dentist 1416 Brace Rd, Cherry Hill, NJ 08034 2009-01-07
1962649327 Michael D Yasner Dentist 1416 Brace Rd., Cherry Hill, NJ 08034 2009-01-07
1326257726 Fredrick Joesph Tisot Dentist 820 Kings Hwy S, Cherry Hill, NJ 08034-2520 2007-05-22
1902962632 Perio Care Spa, PC Dentist 1050 Kings Hwy N Ste 104, Cherry Hill, NJ 08034-1909 2006-12-28
1700941028 Dr Sullivan Dr Yasner Dr Kazemi LLC Dentist 1416 Brace Road, Cherry Hill, NJ 08034-3523 2006-12-27
1205914322 Ira L Eisenstein Dentist 1050 N Kings Hwy, Ste 104, Cherry Hill, NJ 08034 2006-11-02
1366466104 Robert M. Benedon Dentist 1878 Marlton Pike E Ste 3, Cherry Hill, NJ 08003-2090 2006-07-26
1871920827 Precision Periodontics, LLC Dentist 1765 Springdale Rd, Suite C-1, Cherry Hill, NJ 08003-2177 2013-10-07
1235576182 Atlas Dental Specialty Associates LLC Dentist 63 Kresson Rd, Suite 102, Cherry Hill, NJ 08034-3200 2013-06-03
1215174677 Michael F Sullivan Dentist 1416 Brace Rd., Only 1 Office, Cherry Hill, NJ 08034 2009-01-07
Find all providers in CHERRY HILL

Competitor

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City CHERRY HILL
Zip Code 08003

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Dataset Information

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.

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