Individual
ANDREW JONATHAN NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 S BROAD ST STE 1530, PHILADELPHIA, PA 19110-1026
(215) 383-9800
Mailing address
921 HADDONFIELD RD STE 2D, CHERRY HILL, NJ 08002-2782
(856) 250-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN.00204710
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI03077800
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS045309
PA
390200000X
Student in an Organized Health Care Education/Training Program
2951000925
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
07/28/2025
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