# COMPASS DENTAL AT MARLTON CROSSING

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

## Provider details

- **NPI number:** 1407336902
- **Authorized official:** DR. ALISAN PERELMUT DMD (GENERAL DENTIST)
- **Authorized official phone:** (856) 596-3737

## Contact information

- **Practice address:** 564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
- **Practice address phone:** (856) 596-3737
- **Mailing address:** 564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
- **Mailing address phone:** (856) 596-3737

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2018
- **Last updated:** 08/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1093236259 | PERSONAL NPI | NJ |