# WASHINGTON TWP DENTAL ASSOC, P.A.

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

## Provider details

- **NPI number:** 1730305640
- **Authorized official:** MRS. STEFANIE A TILTON (OFFICE MANAGER)
- **Authorized official phone:** (856) 582-1000

## Contact information

- **Practice address:** 474 HURFFVILLE CROSSKEYS RD, ATRIUM ONE SUITE A, SEWELL, NJ 08080-2321
- **Practice address phone:** (856) 582-1000
- **Practice address fax:** (856) 589-1093
- **Mailing address:** 474 HURFFVILLE CROSSKEYS RD, ATRIUM ONE SUITE A, SEWELL, NJ 08080-2321
- **Mailing address phone:** (856) 582-1000
- **Mailing address fax:** (856) 589-1093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI07861 | NJ | — |
| 122300000X | Dentist | DI08926 | NJ | — |
| 122300000X | Dentist | DI11620 | NJ | — |
| 122300000X | Dentist | DI14249 | NJ | Yes |
| 122300000X | Dentist | DI19807 | NJ | — |
| 122300000X | Dentist | DI23083 | NJ | — |
| 1223P0221X | Pediatric Dentistry | DI02215 | NJ | — |
| 1223P0300X | Periodontics | DI01216200 | NJ | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1073643797 | DENTIST | NJ |
| 01 | — | 1154450047 | DENTIST | NJ |
| 01 | — | 1194874958 | PERIODONTIST | NJ |
| 01 | — | 1508995473 | DENTIST | NJ |
| 01 | — | 1801925649 | DENTIST | NJ |
| 01 | — | 1871622787 | PEDIATRIC SPECIALIST | NJ |
| 01 | — | 1912037326 | DENTIST | NJ |
| 01 | — | 1982733945 | DENTIST | NJ |