Dentrust Dental, P.A.

LBN: Dentrust Dental, P.A.
Dentrust Dental, P.A. is an health care organization with primary practice located at 3452 Brody Ave , Ft. Dix NJ 08640. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dentrust Dental, P.A. can be contacted via phone (609) 342-6467, or through Clark, Amanda A via phone (609) 342-6467.

Contact Information

Primary practice address
3452 Brody Ave Ft. Dix NJ 08640
Phone: (609) 342-6467
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Amanda A
Phone: (609) 342-6467

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1023724044
LBN Legal business name Dentrust Dental, P.A.
DBA Doing business as
Authorized official Clark, Amanda A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2023
Last updated Jan 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023724044 NPPES
New Jersey Other 22D101759200 LICENSE NUMBER

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