Acorn Dental Associates
Dentist, Periodontics in Marlton, NJ. Organization (NPI-2).
NPI number1306964226
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1306964226
- Entity type
- Organization (NPI-2)
- Legal business name
- Acorn Dental Associates
- Organization subpart
- No
- Enumeration date
- Mar 27, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 22DI01834400 | NJ | Yes |
| 122300000X | Dentist | 22DI00903200 | NJ | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 22DI01122502 | NJ |
Practice location
100 Centre BlvdSuite J
Marlton, NJ 08053-4128
Phone 856-983-0060 · Fax 856-983-3356
Mailing address
100 Centre BlvdSuite J
Marlton, NJ 08053-4128
Phone 856-983-0060 · Fax 856-983-3356
Authorized official
Frederick R Van Istendal
President
8569830060
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