DR. STACY I. WEEDON


Address: 720 Route 202-206 N, Green Knoll Prof'l Park Building 2, Bridgewater, NJ 08807
Phone: 9087071133

DR. STACY I. WEEDON (NPI# 1851392633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851392633
Entity Type Individual
Full Name DR. STACY I. WEEDON
Credential DDS
Practice Address 720 Route 202-206 N
Green Knoll Prof'l Park Building 2
Bridgewater
NJ 08807
Practice Telephone 9087071133
Practice Fax Number 9087074665
Mailing Telephone 9087071133
Mailing Fax Number 9087074665
Enumeration Date 2005-08-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
22DI01796000 NJ Dental Providers

Office Location

Street Address 720 ROUTE 202-206 N
GREEN KNOLL PROF'L PARK BUILDING 2
City BRIDGEWATER
State NJ
Zip Code 08807

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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003272006 Pediatric Dental Center of Mansfield Dentist 1029 Pleasant St, Suite 103, Bridgewater, MA 02324-2301 2016-01-06

Providers in the same taxonomy and state

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
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Competitor

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City BRIDGEWATER
Zip Code 08807

Improve Information

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Dataset Information

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.

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