PEDIATRIC DENTAL ASSOCIATES OF CLINTON, P.A. (NPI# 1841310554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841310554 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL ASSOCIATES OF CLINTON, P.A. |
| Practice Address |
1465 State Route 31 S Annandale NJ 08801-3129 |
| Practice Telephone | 9087356300 |
| Practice Fax Number | 9087356335 |
| Mailing Telephone | 9087356300 |
| Mailing Fax Number | 9087356335 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY JOHANNA MCGUIRE (OWNER) |
| Authorized Official Telephone | 9087356300 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DI19623 | NJ | Dental Providers |
| Street Address |
1465 STATE ROUTE 31 S |
| City | ANNANDALE |
| State | NJ |
| Zip Code | 08801-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558347229 | Carter Grant Abel | Dermatology | 1465 State Route 31 S, Concourse At Beaver Brook, Annandale, NJ 08801-3129 | 2005-12-15 |
| 1568586824 | David V. Nenna, Md, Pa | Orthopaedic Surgery | 1465 State Route 31 S, The Concouse At Beaver Brook, Annandale, NJ 08801-3129 | 2007-03-19 |
| 1902947351 | Lucia Yuma Martin | Physician Assistant | 1465 State Route 31 S, Annandale, NJ 08801-3129 | 2007-02-09 |
| 1184764862 | Mary Johanna Mcguire | Dentist | 1465 State Route 31 S, Annandale, NJ 08801-3129 | 2007-02-08 |
| 1609929678 | Kim Nolan | Physical Therapist | 1465 State Route 31 S, Annandale, NJ 08801-3129 | 2007-01-20 |
| 1497856124 | Helen Jisoo Park | Optometrist | 1465 State Route 31 S, Annandale, NJ 08801-3129 | 2006-09-26 |
| 1255384897 | Andrey Espinoza | Internal Medicine | 1465 State Route 31 S, Ste 1, Annandale, NJ 08801-3130 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028769 | Ragan Dental Enterprises | Dentist | 1465 Route 31 South, Suite 29, Annandale, NJ 08801 | 2018-10-12 |
| 1073097960 | Breanua Janai Williams | Physical Therapist | 1465 Nj-31, Annandale, NJ 08801 | 2018-09-18 |
| 1699257535 | John A. Kush, D.m.d., LLC | Clinic/Center | 1484 Highway 31, Annandale, NJ 08801 | 2018-09-06 |
| 1053666073 | Carol Christofilis | Psychologist | 31 Petticoat Lane, Annandale, NJ 08801 | 2012-07-16 |
| 1891085056 | Helen Stephanie Raytek | Psychologist | 415 Cokesbury Road, Annandale, NJ 08801 | 2011-04-08 |
| 1033449780 | Mark Hodkinson | Counselor | 2 Cheryle Way, Annandale, NJ 08801 | 2009-12-31 |
| 1770748378 | Jonathan Seth Jaffe | Allergy & Immunology | 38 Southgate Drive, Annandale, NJ 08801 | 2008-07-23 |
| 1588767487 | Flannery Physical Therapy Limited Partnership | Physical Therapist | 1465 State Hwy 31, 3rd Floor, Annandale, NJ 08801 | 2006-09-06 |
| 1518926856 | Dean Edward Rummel | Physical Therapist | 1465 St Highway 31, Annondale, NJ 08801 | 2006-03-23 |
| 1932168283 | Peter Jon Warren | Physical Therapist | 1465 State Highway 31, 3rd Floor, Annandale, NJ 08801 | 2006-03-23 |
| Find all providers in zip 08801 | ||||
| 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 |
|---|---|---|---|---|
| 1669888483 | Springdale Kidz Dentistry, Pllc | Dentist | 5047 Backlick Rd, Suite A, Annandale, VA 22003-6045 | 2014-07-02 |
| 1184764862 | Mary Johanna Mcguire | Dentist | 1465 State Route 31 S, Annandale, NJ 08801-3129 | 2007-02-08 |
| 1356489355 | Gopal S Pal | Dentist | 7540 Little River Tpke Ste A, Annandale, VA 22003-2839 | 2007-02-02 |
| 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.