# BARRY E ETTELSON DDS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982743944
- **Authorized official:** DR. BARRY E ETTELSON DDS (PRESIDENT DENTIST)
- **Authorized official phone:** (856) 227-2554

## Contact information

- **Practice address:** 900 ROUTE 168 STE I6, WASHINGTON PROFESSIONAL CAMPUS, TURNERSVILLE, NJ 08012-3212
- **Practice address phone:** (856) 227-2554
- **Practice address fax:** (856) 227-4066
- **Mailing address:** 900 ROUTE 168 STE I6, WASHINGTON PROFESSIONAL CAMPUS, TURNERSVILLE, NJ 08012-3212
- **Mailing address phone:** (856) 227-2554
- **Mailing address fax:** (856) 227-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 08424 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | D5015997L | PA | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020