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Little Smiles Pediatric Dentistry Of South Jersey

Dentist, Pediatric Dentistry in Vineland, NJ. Organization (NPI-2).

NPI number1295582005
StatusActive
Last updated in NPPESSep 17, 2024

Details

NPI
1295582005
Entity type
Organization (NPI-2)
Legal business name
Little Smiles Pediatric Dentistry Of South Jersey
Organization subpart
No
Enumeration date
May 1, 2024
Certification date
Sep 17, 2024
Last updated
Sep 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Other names

  • Little Smiles (Doing Business As)

Practice location

1206 W Sherman Ave Ste 4d
Vineland, NJ 08360-6911

Phone 856-368-2800 · Fax 856-412-5100

Mailing address

1206 W Sherman Ave Ste 4d
Vineland, NJ 08360-6911

Phone 856-368-2800 · Fax 856-412-5100

Authorized official

Darlene L Mander
Credentialing/Ar
8562078406

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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