# COLLINGSWOOD DENTAL ASSOC PA

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

## Provider details

- **NPI number:** 1922054360
- **Authorized official:** DR. ROGER H SHEINKIN DDS (PRESIDENT)
- **Authorized official phone:** (856) 854-5848

## Contact information

- **Practice address:** 610 COLLINGS AVENUE, WEST COLLINGSWOOD, NJ 08107-1724
- **Practice address phone:** (856) 854-5848
- **Practice address fax:** (856) 854-6578
- **Mailing address:** 610 COLLINGS AVENUE, WEST COLLINGSWOOD, NJ 08107-1724
- **Mailing address phone:** (856) 854-5848
- **Mailing address fax:** (856) 854-6578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10507 | NJ | — |
| 122300000X | Dentist | 11150 | NJ | Yes |
| 122300000X | Dentist | 9087 | NJ | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020