Organization
DENTISTRY FOR SPECIAL PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN BICKING (OFFICE MANAGER)
(856) 424-5955
Entity
Organization
Contact information
Practice address
1910 MARLTON PIKE E STE 9, CHERRY HILL, NJ 08003-2123
(856) 424-5955
(856) 424-8382
Mailing address
1910 MARLTON PIKE E STE 9, CHERRY HILL, NJ 08003-2123
(856) 424-5955
(856) 424-8382
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1859201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933209
—
NJ
05
—
5331404
—
NJ
Enumeration date
04/06/2006
Last updated
08/22/2020
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