# 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-Westmont
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225883077
- **Legal business name:** BRADEN DENTAL OF SOUTH JERSEY PC
- **Authorized official:** DOUGLAS SHERLY (PRESIDENT)
- **Authorized official phone:** (609) 560-5902

## Contact information

- **Practice address:** 326 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2825
- **Practice address phone:** (856) 854-0146
- **Mailing address:** 326 HADDON AVE, HADDON TOWNSHIP, NJ 08108-2825
- **Mailing address phone:** (856) 854-0146

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 05/21/2024