DENTAL CARE OF BRIGANTINE, LLC (NPI# 1538352620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538352620 |
| Entity Type | Organization |
| Organization Name | DENTAL CARE OF BRIGANTINE, LLC |
| Practice Address |
1500 S Lincoln Ave Vineland NJ 08361-6610 |
| Mailing Address |
4276 Harbor Beach Blvd Ste B Brigantine Towne Center Brigantine NJ 08203-1363 |
| Practice Telephone | 8566912553 |
| Practice Fax Number | 8566913370 |
| Mailing Telephone | 6092666658 |
| Mailing Fax Number | 6092665990 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MS. MICKEY PERRY (OFFICE MANAGER) |
| Authorized Official Telephone | 6092666658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18248 | NJ | Dental Providers |
| Street Address |
1500 S LINCOLN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08361-6610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699875575 | Frank A Pettisani Sr. | Dentist | 1500 S Lincoln Ave, Vineland, NJ 03361 | 2006-09-22 |
| 1326420944 | Juliana Kim | Dentist | 1500 S Lincoln Ave, Vineland, NJ 08361-6610 | 2015-06-19 |
| 1093937583 | Dental Care of Vineland, P.a. | Dentist | 1500 S Lincoln Ave, Vineland, NJ 08361-6610 | 2007-05-03 |
| 1669503819 | Leslie Flahaven | Dentist | 1500 S Lincoln Ave, Vineland, NJ 08361-6610 | 2007-03-08 |
| 1851482004 | Frank A Pettisani Jr. | Dentist | 1500 S Lincoln Ave, Vineland, NJ 08361 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205200755 | Caringhouse Projects, Inc | Respite Care | 1702 Gardner Street, Apt 3a & 3b, Vineland, NJ 08361 | 2015-11-20 |
| 1588038038 | Caringhouse Projects, Inc | Respite Care | 5191 East Chestnut Avenue, Vineland, NJ 08361 | 2015-11-20 |
| 1568835593 | Caringhouse Projects, Inc | Respite Care | 1718 Gardner Street, Apts 1 & 2, Vineland, NJ 08361 | 2015-11-13 |
| 1821471566 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 1, Vineland, NJ 08361 | 2015-06-30 |
| 1851774665 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 6, Vineland, NJ 08361 | 2015-06-30 |
| 1730562471 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 9, Vineland, NJ 08361 | 2015-06-30 |
| 1629466438 | Jadira Carlo | Counselor | Gardner Street Supervised Aparment, Vineland, NJ 08361 | 2014-12-31 |
| 1699080226 | John Platanella Jr. | Pharmacist | 1889 South Lincoln Ave., Rite Aid #10490, Vineland, NJ 08361 | 2010-08-06 |
| 1003982729 | Sheldon Vischer Smith Sr. | Internal Medicine | 1676 E Landis Avenue, Vineland, NJ 08361 | 2006-11-27 |
| 1689760951 | Tom A Tassakis | Internal Medicine | 1550 E Chestnut Ave, Building 4 Suite D, Vineland, NJ 08361 | 2006-10-05 |
| Find all providers in zip 08361 | ||||
| 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 |
|---|---|---|---|---|
| 1134461015 | Paul John Marcucci Jr. | Dentist | 556 N Harding Hwy, Vineland, NJ 08360-8713 | 2013-03-19 |
| 1629329925 | Affordable Dentures - Vineland, Michelle Aitken, Dds., P.a. | Dentist | 60 W Landis Ave, Vineland, NJ 08360-8107 | 2012-09-26 |
| 1679706543 | Steven L. Rasner, Dmd, Magd | Dentist | 2106 W Landis Ave, Vineland, NJ 08360-3431 | 2009-08-26 |
| 1922257047 | Robert Henry Carlson | Dentist | 435 W Landis Ave, Vineland, NJ 08360-8105 | 2008-09-12 |
| 1396910519 | Joel Peter Agranoff | Dentist | 411 S West Ave, Vineland, NJ 08360-5248 | 2008-04-29 |
| 1578766747 | Steven Philip Weinberg | Dentist | 1725 Wynnewood Dr, Vineland, NJ 08361-6753 | 2007-06-06 |
| 1083827430 | Dentofacial Associates,pa | Dentist | 435 W. Landis Avenue, Vineland, NJ 08360 | 2007-05-08 |
| 1861604167 | William F. Dudley | Dentist | 1051 Magnolia Rd, Vineland, NJ 08360-6422 | 2007-05-07 |
| 1033236625 | Eastern Dental of Vineland, LLC | Dentist | 1145 E Chestnut Ave, Vineland, NJ 08360-5001 | 2007-03-26 |
| 1710002944 | Mark Giorno Dmd & Associate Pa | Dentist | 2581 E Chestnut Ave, Suite A, Vineland, NJ 08361-8487 | 2007-03-20 |
| Find all providers in VINELAND | ||||
Please comment or provide details below to improve the information on DENTAL CARE OF BRIGANTINE, LLC.
| 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.