South Jersey Pediatric Dental, Llc

LBN: South Jersey Pediatric Dental, Llc
South Jersey Pediatric Dental, Llc is an health care organization with primary practice located at 2550 S Main Rd , Vineland NJ 08360-7138. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. South Jersey Pediatric Dental, Llc can be contacted via phone (856) 213-4400, or through Bristol Martir, Brendaliz via phone (856) 839-7019.

Contact Information

Primary practice address
2550 S Main Rd Vineland NJ 08360-7138
Phone: (856) 213-4400
Fax: (856) 213-4401
Website:
Map and Directions
Authorized official contact:
Name: Bristol Martir, Brendaliz Doctor of Dental Medicine (DMD)
Phone: (856) 839-7019

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1598199101
LBN Legal business name South Jersey Pediatric Dental, Llc
DBA Doing business as
Authorized official Bristol Martir, Brendaliz Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2013
Last updated May 6th, 2022 - about 2 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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