HOLDBROOK PEDIATRIC DENTAL, LLC
NPI 1679811129
Dentist - Pediatric Dentistry in Swedesboro, NJ
About Holdbrook Pediatric Dental, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLDBROOK PEDIATRIC DENTAL, LLC (NPI 1679811129) is a healthcare organization registered as a pediatric dentistry in Swedesboro, New Jersey and active in the NPI registry since January 2013. The organization lists Wendell Holdbrook, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holdbrook Pediatric Dental, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Holdbrook Pediatric Dental, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Holdbrook Pediatric Dental, LLC's NPI number?
The NPI number for Holdbrook Pediatric Dental, LLC is 1679811129. It was assigned to this organization in the NPPES registry on January 17, 2013.
Where is Holdbrook Pediatric Dental, LLC located?
Holdbrook Pediatric Dental, LLC is located at 553 Beckett Rd Suite 604, Swedesboro, NJ 08085. The listed phone number is (856) 556-4020.
What is Holdbrook Pediatric Dental, LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Holdbrook Pediatric Dental, LLC enrolled in Medicare?
Yes. Holdbrook Pediatric Dental, LLC is registered in the Medicare PECOS enrollment system.
When is Holdbrook Pediatric Dental, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Holdbrook Pediatric Dental, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Holdbrook Pediatric Dental, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Holdbrook Pediatric Dental, LLC accept?
Health plans from UnitedHealthcare list Holdbrook Pediatric Dental, LLC 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 Holdbrook Pediatric Dental, LLC was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Holdbrook Pediatric Dental, Llc · NPI 1679811129
Pediatric Dentistry organization in Swedesboro, New Jersey. Organization record, active in the CMS NPPES registry since January 17, 2013.
## Identity
- **NPI:** 1679811129 (Entity type: Organization)
- **Enumerated:** January 17, 2013
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **Organization subpart:** No
- **Authorized official:** Wendell Holdbrook, OWNER
## Practice location
- **Address:** 553 BECKETT RD, SUITE 604, Swedesboro, NJ 08085-1565
- **Phone:** (856) 556-4020 · **Fax:** (856) 241-1251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2013
- **Other identifiers:** Medicaid 0212768 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1679811129) · Data from the CMS NPPES public registry.