Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dentistry of South Jersey, PC

Organization Pediatric Dentistry · NPI 1104009943

Pediatric Dentistry of South Jersey, PC provides Pediatric Dentistry in Vineland, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3071 E Chestnut Ave Ste D-10
Vineland, NJ 08361-7847 Not confirmed with CMS for 18 years — call before visiting
Phone: (856) 205-0099
Fax: (856) 205-1633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DI16646 (NJ)

Record details

NPI number1104009943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Beck — Owner · (856) 205-0099
NPI enumeratedDecember 16, 2007
Last updated in NPPESDecember 16, 2007
Mailing address3071 E Chestnut Ave, Suite D-10, Vineland, NJ 08361-7847

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