# COMMUNITY DENTAL OF VENTNOR, P.C.

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

## Provider details

- **NPI number:** 1437792009
- **Authorized official:** TODD PRAGER DDS (PARTNER)
- **Authorized official phone:** (856) 759-8973

## Contact information

- **Practice address:** 5100 WELLINGTON AVENUE, VENTNOR CITY, NJ 08406
- **Practice address phone:** (856) 759-8973
- **Mailing address:** 709 SOUTH BROADWAY, SUITE C-11, PENNSVILLE, NJ 08070
- **Mailing address phone:** (856) 759-8973

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 10/25/2019