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Organization

WASHINGTON TWP DENTAL ASSOC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEFANIE A TILTON (OFFICE MANAGER)
(856) 582-1000
Entity
Organization

Contact information

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

Taxonomy

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

Other

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
Enumeration date
04/18/2007
Last updated
09/11/2025
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