WOODBURY DENTAL ASSOCIATES PA (NPI# 1235670811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235670811 |
| Entity Type | Organization |
| Organization Name | WOODBURY DENTAL ASSOCIATES PA |
| Practice Address |
1050 Mantua Pike Wenonah NJ 08090-1141 |
| Practice Telephone | 8568486630 |
| Practice Fax Number | 8568487294 |
| Mailing Telephone | 8568486630 |
| Mailing Fax Number | 8568487294 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | MRS. SARAH S ZANGER (MANAGER) |
| Authorized Official Telephone | 8568486630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02559400 | NJ | Dental Providers |
| Street Address |
1050 MANTUA PIKE |
| City | WENONAH |
| State | NJ |
| Zip Code | 08090-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205912144 | Benjamin George Piantedosi | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2006-10-31 |
| 1639649981 | Brandon Francis Tunstall | Nurse Practitioner | 1050 Mantua Pike, Wenonah, NJ 08090-1141 | 2018-11-29 |
| 1467707448 | Robin Keisha Lynch-varela | Nurse Practitioner | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2012-07-17 |
| 1336432244 | Advocare, LLC | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2011-05-25 |
| 1265697429 | Dana Lynn Biermann Flynn | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2008-07-26 |
| 1073700639 | Eliza White | Nurse Practitioner | 1050 Mantua Pike, 601 Office Plaza - 2nd Floor, Wenonah, NJ 08090-1141 | 2007-09-27 |
| 1073706222 | Brenda L Allgood | Nurse Practitioner | 1050 Mantua Pike, 601 Office Plaza, 2nd Floor, Wenonah, NJ 08090-1141 | 2007-08-21 |
| 1821202250 | Victoria Hastings-schmidt | Physician Assistant | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2007-05-08 |
| 1407995558 | Alycia Leigh Bischof | Nurse Practitioner | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2007-02-05 |
| 1861560336 | Tamika Lillian Jones | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841782455 | Melissa Margarita Collins | Nurse Practitioner | 1050 Mantua Pike Fl 1, Wenonah, NJ 08090 | 2018-05-31 |
| 1821473596 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 N. Clinton Avenue, Wenonah, NJ 08090 | 2015-07-23 |
| 1962650457 | West Deptford Animal Hospital | Veterinarian | 1044 Mantua Pike, Rt 45, Wenonah, NJ 08090-1124 | 2008-09-09 |
| 1285726901 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1098 Mantua Pike, Wenonah, NJ 08090-1124 | 2006-09-29 |
| 1306496013 | April Digiannantonio | Social Worker | 607 Vassar Rd, Wenonah, NJ 08090-1136 | 2019-09-14 |
| 1669734687 | Shannon Nicole Cornell | Counselor | 483 Fordham Rd, Wenonah, NJ 08090-1227 | 2012-06-14 |
| 1316560857 | Stephanie M Poe-cerdan | Psychologist | 622 Franklin Rd, Wenonah, NJ 08090-1230 | 2020-05-19 |
| 1013530559 | Devani Home Care Solutions LLC | Day Training, Developmentally Disabled Services | 622 Franklin Rd, Wenonah, NJ 08090-1230 | 2020-05-19 |
| 1538539754 | Genesis Rehab Services | Skilled Nursing Facility | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2015-09-30 |
| 1720538770 | Jaclyn Cory Brown | Occupational Therapist | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2016-10-13 |
| Find all providers in zip 08090 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
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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.