MEDFORD PERIODONTAL ASSOCIATES, LLC
NPI 1184808743
Dentist - Periodontics in Medford, NJ

Active since December 19, 2007
30 JACKSON RD, SUITE A-5, MEDFORD, NJ 08055(609) 953-3700 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medford Periodontal Associates, Llc NPPES

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

MEDFORD PERIODONTAL ASSOCIATES, LLC (NPI 1184808743) is a healthcare organization registered as a periodontics in Medford, New Jersey and active in the NPI registry since December 2007. The organization lists Bernard Calem, Owner, as its authorized official.

NPPES Registry Identity

NPI1184808743
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMEDFORD PERIODONTAL ASSOCIATES, LLC
Location Address30 JACKSON RD, SUITE A-5Medford, NJ 08055-9283
Mailing Address30 Jackson Rd, Suite A-5Medford, NJ 08055-9283 · (609) 953-3700
Organization SubpartNo
Authorized OfficialBernard CalemOwner · (609) 953-3700
Enumeration DateDecember 19, 2007
Last NPPES UpdateAugust 13, 2024
NPI 1184808743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NJ · 22DI01653900
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
30 JACKSON RD, Medford, NJ 08055

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

Other Providers at the Same Location NPPES 13

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

Chiropractor
30 JACKSON RD, STE A1
MEDFORD, NJ 08055
Social Worker (Clinical)
30 JACKSON RD, SUITE #D1
MEDFORD, NJ 08055
Dentist (Orthodontics and Dentofacial Orthopedics)
30 JACKSON RD, JACKSON COMMONS - SUITE B2
MEDFORD, NJ 08055
Podiatrist
30 JACKSON RD, SUITE D-3
MEDFORD, NJ 08055
Dentist (General Practice)
30 JACKSON RD
MEDFORD, NJ 08055
Chiropractor (Rehabilitation)
30 JACKSON RD, SUITE A-1
MEDFORD, NJ 08055
Dentist (Endodontics)
30 JACKSON RD, SUITE C-2
MEDFORD, NJ 08055
Dentist (General Practice)
30 JACKSON RD
MEDFORD, NJ 08055

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 Medford Periodontal Associates, LLC's NPI number?

The NPI number for Medford Periodontal Associates, LLC is 1184808743. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Medford Periodontal Associates, LLC located?

Medford Periodontal Associates, LLC is located at 30 Jackson Rd Suite A-5, Medford, NJ 08055. The listed phone number is (609) 953-3700.

What is Medford Periodontal Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Medford Periodontal Associates, LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.