MAIN STREET DENTAL - DEPTFORD (NPI# 1629508684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629508684 |
| Entity Type | Organization |
| Organization Name | MAIN STREET DENTAL - DEPTFORD |
| Practice Address |
1375 Delsea Dr Deptford NJ 08096-1940 |
| Practice Telephone | 8568488787 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | KEITH DUNOFF (OWNER) |
| Authorized Official Telephone | 7327500707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1375 DELSEA DR |
| City | DEPTFORD |
| State | NJ |
| Zip Code | 08096-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518302314 | Mark Giorno Dmd and Associates P.a. | Dentist | 1375 Delsea Dr, Deptford, NJ 08096-1940 | 2013-05-07 |
| 1023431004 | Theodore Bell | Dentist | 1375 Delsea Dr, Deptford, NJ 08096-1940 | 2014-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| 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 |
|---|---|---|---|---|
| 1144714247 | Gregory Haines Jr. | Dentist | 1104 Cooper St, Deptford, NJ 08096-3012 | 2018-06-21 |
| 1023431004 | Theodore Bell | Dentist | 1375 Delsea Dr, Deptford, NJ 08096-1940 | 2014-01-28 |
| 1588979835 | Divya R Muchintal | Dentist | 2000 Clements Bridge Rd, Deptford, NJ 08096-2011 | 2010-08-11 |
| 1285969634 | Raj Choksi | Dentist | 1450 Clements Bridge Rd, Deptford, NJ 08096-3067 | 2009-10-02 |
| 1528207198 | Deptford Family Dental Pa | Dentist | 2000 Clements Bridge Rd, Suite 117 A, Deptford, NJ 08096-2011 | 2009-02-05 |
| 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 |
| 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.