Advanced Dental of Woolwich
Advanced Dental of Woolwich provides Pediatric Dentistry in Woolwich, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.
- Licensed in
- NJ
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1630 Rt 322 Ste FWoolwich, NJ 08085 Not confirmed with CMS for 14 years — call before visiting
Phone: (856) 832-4480
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 22DIO2146400 (NJ) |
|---|---|
| Prosthodontics | Taxonomy 1223P0700X · Licence 22DIO2196800 (NJ) |
Record details
| NPI number | 1144595356 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laderrick Bullock — Owner · (856) 832-4480 |
| NPI enumerated | March 21, 2012 |
| Last updated in NPPES | March 21, 2012 |
| Mailing address | 1630 Rt 322, Suite F, Woolwich, NJ 08085 |