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ADVANCED DENTAL OF WOOLWICH
NPI 1144595356
Dentist - Pediatric Dentistry in Woolwich, NJ

Active since March 21, 2012
1630 RT 322, SUITE F, WOOLWICH, NJ 08085(856) 832-4480 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dental Of Woolwich NPPES

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

ADVANCED DENTAL OF WOOLWICH (NPI 1144595356) is a healthcare organization registered as a pediatric dentistry in Woolwich, New Jersey and active in the NPI registry since March 2012. The organization lists Laderrick Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1144595356
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameADVANCED DENTAL OF WOOLWICH
Location Address1630 RT 322, SUITE FWoolwich, NJ 08085
Mailing Address1630 Rt 322, Suite FWoolwich, NJ 08085 · (856) 832-4480
Phone(856) 832-4480
Organization SubpartNo
Authorized OfficialLaderrick BullockOwner · (856) 832-4480
Enumeration DateMarch 21, 2012
✔ NPI 1144595356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NJ · 22DIO2146400
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 22DIO2196800 (NJ)
1630 RT 322, Woolwich, NJ 08085
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Advanced Dental Of Woolwich's NPI number?

The NPI number for Advanced Dental Of Woolwich is 1144595356. It was assigned to this organization in the NPPES registry on March 21, 2012.

Where is Advanced Dental Of Woolwich located?

Advanced Dental Of Woolwich is located at 1630 Rt 322 Suite F, Woolwich, NJ 08085. The listed phone number is (856) 832-4480.

What is Advanced Dental Of Woolwich's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Dental Of Woolwich was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.