PERIODONTAL ASSOCIATES OF SOUTHERN NEW JERSEY, P.C.
NPI 1275750135
Dentist - Periodontics in Sewell, NJ

Active since April 19, 2007
100B KINGS WAY W, SEWELL, NJ 08080(856) 589-9233(856) 582-2439 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Periodontics

About PERIODONTAL ASSOCIATES OF SOUTHERN NEW JERSEY, P.C.

This page provides the complete NPI Profile along with additional information for Periodontal Associates Of Southern New Jersey, P.c., a provider established in Sewell, New Jersey operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1275750135 assigned on April 2007. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Louis Eisenberg D.d.s. (President)

NPI
1275750135 Verify this NPI
Provider Name
PERIODONTAL ASSOCIATES OF SOUTHERN NEW JERSEY, P.C.
Entity Type
Organization
Location Address
100B KINGS WAY W SEWELL, NJ 08080
Location Phone
(856) 589-9233
Location Fax
(856) 582-2439
Mailing Address
100B KINGS WAY W SEWELL, NJ 08080
Mailing Phone
(856) 589-9233
Mailing Fax
(856) 582-2439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Periodontal Associates Of Southern New Jersey, P.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LOUIS EISENBERG D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(856) 589-9233

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275750135, enumerated as an "organization" on April 19, 2007.

The provider is located at 100B KINGS WAY W SEWELL, NJ 08080 and the phone number is (856) 589-9233.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.