Magic Dental Camden, Llc

LBN: Magic Dental Camden, Llc
Magic Dental Camden, Llc is an health care organization with primary practice located at 433 Market St Ste 102 , Camden NJ 08102-1572. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Magic Dental Camden, Llc can be contacted via phone (856) 963-2369, or through Kondratyeva, Natalya via phone (856) 963-0315.

Contact Information

Primary practice address
433 Market St Ste 102 Camden NJ 08102-1572
Fax: (856) 963-2369
Website:
Authorized official contact:
Name: Kondratyeva, Natalya Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI02018400 New Jersey

Profile Details

NPI number 1235610882
LBN Legal business name Magic Dental Camden, Llc
DBA Doing business as
Authorized official Kondratyeva, Natalya Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2018
Last updated Jan 19th, 2021 - about 4 years ago

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 1235610882 NPPES
New Jersey MEDICAID 0617415

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