# SOUTH JERSEY DENTAL CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH JERSEY DENTAL CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316574825
- **Legal business name:** SOUTH JERSEY DENTAL CARE
- **Authorized official:** JAY J LIU DMD, FICOI (OWNER (SELF))
- **Authorized official phone:** (267) 250-8082

## Contact information

- **Practice address:** 212 W ROUTE 38, SUITE 500, MOORESTOWN, NJ 08057
- **Practice address phone:** (856) 206-9559
- **Practice address fax:** (856) 206-9399
- **Mailing address:** 212 W ROUTE 38, SUITE 500, MOORESTOWN, NJ 08057
- **Mailing address phone:** (856) 206-9559
- **Mailing address fax:** (856) 206-9399

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 03/25/2020