# BRADEN DENTAL OF SOUTH JERSEY PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRADEN DENTAL OF SOUTH JERSEY PC
- **Other names:** Dentistry of South Jersey - Washington Twsp.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023857000
- **Legal business name:** BRADEN DENTAL OF SOUTH JERSEY PC
- **Authorized official:** DOUGLAS SHERLY (PRESIDENT)
- **Authorized official phone:** (609) 560-5902

## Contact information

- **Practice address:** 438 GANTTOWN RD STE B, SEWELL, NJ 08080-2341
- **Practice address phone:** (856) 589-4300
- **Mailing address:** 438 GANTTOWN RD STE B, SEWELL, NJ 08080-2341
- **Mailing address phone:** (856) 589-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024