DR. JAMES JOSEPH CANALICHIO DDS NPI 1003010083

Dentist (General Practice) in Pennsauken, NJ

About JAMES CANALICHIO

James Canalichio is a provider in Pennsauken, NJ. The NPI number assigned to this provider is 1003010083. The practitioner's primary taxonomy code is Dentist (1223G0001X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI1003010083 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. JAMES JOSEPH CANALICHIO DDS
Provider Location Address7512 MAPLE AVENUE PENNSAUKEN, NJ 08109 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address7512 MAPLE AVENUE PENNSAUKEN, NJ 08109 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. JAMES JOSEPH CANALICHIO DDS
7512 MAPLE AVENUE
PENNSAUKEN, NJ
ZIP 08109
Phone: (856) 665-5101
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Mailing Address

DR. JAMES JOSEPH CANALICHIO DDS
7512 MAPLE AVENUE
PENNSAUKEN, NJ
ZIP 08109
Phone: (856) 665-5101

Primary Taxonomy

Taxonomy Code1223G0001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.22DI00950700
License StateNJ
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Map Location


DR. JAMES JOSEPH CANALICHIO DDS address is 7512 MAPLE AVENUE PENNSAUKEN, NJ 08109