# 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 - Cherry HIl
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124867114
- **Legal business name:** BRADEN DENTAL OF SOUTH JERSEY PC
- **Authorized official:** DOUGLAS SHERLY (PRESIDENT)
- **Authorized official phone:** (609) 560-5902

## Contact information

- **Practice address:** 1949 MARLTON PIKE E STE 7, CHERRY HILL, NJ 08003-2145
- **Practice address phone:** (856) 751-8880
- **Mailing address:** 1949 MARLTON PIKE E STE 7, CHERRY HILL, NJ 08003-2145
- **Mailing address phone:** (856) 751-8880

## Taxonomy

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

## Other

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