# CONWAY DENTAL ASSOC PA

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

## Provider details

- **NPI number:** 1710054077
- **Authorized official:** MRS. JUDITH A HAMMOND (OFFICE MANAGER)
- **Authorized official phone:** (609) 877-1330

## Contact information

- **Practice address:** 215 SUNSET RD, SUITE 200, WILLINGBORO, NJ 08046
- **Practice address phone:** (609) 877-1330
- **Practice address fax:** (609) 877-8313
- **Mailing address:** 215 SUNSET RD, SUITE 200, WILLINGBORO, NJ 08046
- **Mailing address phone:** (609) 877-1330
- **Mailing address fax:** (609) 877-8313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13093 | NJ | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020