RAYMOND R. HANCOCK, D.D.S. (NPI# 1619996642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619996642 |
| Entity Type | Organization |
| Organization Name | RAYMOND R. HANCOCK, D.D.S. |
| Practice Address |
475 Old Marlton Pike W Marlton NJ 08053-2098 |
| Practice Telephone | 8569833880 |
| Practice Fax Number | 8569859064 |
| Mailing Telephone | 8569833880 |
| Mailing Fax Number | 8569859064 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAYMOND R. HANCOCK (PROSTHODONTIST) |
| Authorized Official Telephone | 8569833880 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI00934900 | NJ | Dental Providers |
| Street Address |
475 OLD MARLTON PIKE W |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119811 | Bryan H Levey | Pediatrics | 475 Old Marlton Pike W, Suite 4, Marlton, NJ 08053-2098 | 2005-10-25 |
| 1851530422 | Tracy Lynn Mcshea | Occupational Therapist | 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098 | 2009-02-05 |
| 1558562199 | Jennifer Bergman Ms Ccc LLC | Speech-Language Pathologist | 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098 | 2007-05-30 |
| 1821215278 | Occupational Therapy Services of Pediatric Rehab Network | Occupational Therapist | 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098 | 2007-04-19 |
| 1497806327 | Mary K Grinovics | Occupational Therapist | 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098 | 2007-01-16 |
| 1316035462 | Dianne Lazer | Speech-Language Pathologist | 475 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2098 | 2006-10-11 |
| 1992713960 | Doctor Joseph Sireci LLC | Family Medicine | 475 Old Marlton Pike W, Suite 5, Marlton, NJ 08053-2098 | 2006-08-04 |
| 1093737157 | Raymond R. Hancock | Dentist | 475 Old Marlton Pike W, Marlton, NJ 08053-2098 | 2006-07-24 |
| 1659313005 | Joseph Sireci | Family Medicine | 475 Old Marlton Pike W, Marlton, NJ 08053-2098 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548488984 | Jonathan H Orenstein | Dentist | 564 Lippincott Dr, Marlton, NJ 08053-4810 | 2007-04-23 |
| 1760006209 | South Jersey Center for Advanced Dentistry, LLC | Dentist | 750 Route 73 S Ste 209, Marlton, NJ 08053-4133 | 2020-06-01 |
| 1154801579 | Prosthodontics At Marlton Crossing | Dentist | 564 Lippincott Dr, Marlton, NJ 08053-4810 | 2018-08-15 |
| 1093737157 | Raymond R. Hancock | Dentist | 475 Old Marlton Pike W, Marlton, NJ 08053-2098 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
| 1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
| 1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
| 1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1013161553 | George Thomas Favetta Jr. | Dentist | 1966 Washington Valley Rd, Martinsville, NJ 08836-2037 | 2008-11-11 |
| 1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
| 1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
| 1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
| 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.