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

South Jersey Center for Advanced Dentistry, LLC

Organization Prosthodontics · NPI 1760006209

South Jersey Center for Advanced Dentistry, LLC provides Prosthodontics in Marlton, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 Route 73 S Ste 209
Marlton, NJ 08053-4133
Phone: (856) 988-7773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1760006209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laderrick Bullock — Owner · (856) 988-7773
Other names Sj Center For Advanced Dentistry
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address20 Box Turtle Ln, Sicklerville, NJ 08081-5682

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