PEDIATRIC DENTISTRY OF SOUTH JERSEY, P.C.
NPI 1104009943
Dentist - Pediatric Dentistry in Vineland, NJ

Active since December 16, 2007
3071 E CHESTNUT AVE, SUITE D-10, VINELAND, NJ 08361(856) 205-0099(856) 205-1633 Get Directions Write a Review

NPPES record last updated: December 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry Of South Jersey, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF SOUTH JERSEY, P.C. (NPI 1104009943) is a healthcare organization registered as a pediatric dentistry in Vineland, New Jersey and active in the NPI registry since December 2007. The organization lists William R Beck, Owner, as its authorized official.

NPPES Registry Identity

NPI1104009943
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF SOUTH JERSEY, P.C.
Location Address3071 E CHESTNUT AVE, SUITE D-10Vineland, NJ 08361-7847
Mailing Address3071 E Chestnut Ave, Suite D-10Vineland, NJ 08361-7847 · (856) 205-0099 · Fax (856) 205-1633
Fax(856) 205-1633
Organization SubpartNo
Authorized OfficialWilliam R BeckOwner · (856) 205-0099
Enumeration DateDecember 16, 2007
NPI 1104009943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NJ · DI16646
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3071 E CHESTNUT AVE, Vineland, NJ 08361

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3071 E CHESTNUT AVE, SUITE C-7
VINELAND, NJ 08361
Pain Medicine (Pain Medicine)
3071 E CHESTNUT AVE, SUITE D-12
VINELAND, NJ 08361
Optometrist
3071 E CHESTNUT AVE, SUITE B 6
VINELAND, NJ 08361
Dentist (Pediatric Dentistry)
3071 E CHESTNUT AVE, SUITE D-10
VINELAND, NJ 08361
Ophthalmology
3071 E CHESTNUT AVE, SUITE B 6
VINELAND, NJ 08361
Optometrist
3071 E CHESTNUT AVE, SUITE B 6
VINELAND, NJ 08361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of South Jersey, P.C.'s NPI number?

The NPI number for Pediatric Dentistry Of South Jersey, P.C. is 1104009943. It was assigned to this organization in the NPPES registry on December 16, 2007.

Where is Pediatric Dentistry Of South Jersey, P.C. located?

Pediatric Dentistry Of South Jersey, P.C. is located at 3071 E Chestnut Ave Suite D-10, Vineland, NJ 08361. The listed phone number is (856) 205-0099.

What is Pediatric Dentistry Of South Jersey, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Dentistry Of South Jersey, P.C. accept?

Health plans from UnitedHealthcare list Pediatric Dentistry Of South Jersey, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of South Jersey, P.C. was last updated on December 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.