# COMMUNITY DENTAL OF LAWNSIDE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124735550
- **Authorized official:** DR. TODD A PRAGER DDS (CO-OWNER)
- **Authorized official phone:** (609) 267-4200

## Contact information

- **Practice address:** 130 NORTH WHITE HORSE PIKE, LAWNSIDE, NJ 08045
- **Practice address phone:** (856) 229-8250
- **Mailing address:** 1817 MT. HOLLY ROAD, SUITE B-5, BURLINGTON, NJ 08016
- **Mailing address phone:** (609) 267-4200

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 11/04/2022