# BARRY A. BRODY, D.D.S. PA

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

## Provider details

- **NPI number:** 1821006966
- **Authorized official:** DR. BARRY ALVIN BRODY D.D.S. (PRESIDENT)
- **Authorized official phone:** (856) 983-2232

## Contact information

- **Practice address:** 750 ROUTE 73 S, SUITE 102A, MARLTON, NJ 08053-4141
- **Practice address phone:** (856) 983-2232
- **Practice address fax:** (856) 983-6111
- **Mailing address:** 750 ROUTE 73 S, SUITE 102A, MARLTON, NJ 08053-4141
- **Mailing address phone:** (856) 983-2232
- **Mailing address fax:** (856) 983-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9126 | NJ | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020