ACADEMY DENTAL GROUP, PA
NPI 1720655863
Dentist - General Practice in Dover, NJ

Active since June 08, 2021
4 MARVIN ST, DOVER, NJ 07801(973) 328-0022(973) 328-0988 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Academy Dental Group, Pa NPPES

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

ACADEMY DENTAL GROUP, PA (NPI 1720655863), doing business as Advanced Cosmetic & Laser Dentistry, is a healthcare organization registered as a general practice in Dover, New Jersey and active in the NPI registry since June 2021. The organization lists Jason Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1720655863
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameACADEMY DENTAL GROUP, PA
Location Address4 MARVIN STDover, NJ 07801-3735
Mailing Address4 Marvin StDover, NJ 07801-3735 · (973) 328-0022
Fax(973) 328-0988
Organization SubpartNo
Authorized OfficialJason LeeOwner · (973) 328-0022
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
NPI 1720655863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4 MARVIN ST, Dover, NJ 07801

Other Names 1

Doing Business AsAdvanced Cosmetic & Laser Dentistry

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist
4 MARVIN ST
DOVER, NJ 07801

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 Academy Dental Group, PA's NPI number?

The NPI number for Academy Dental Group, PA is 1720655863. It was assigned to this organization in the NPPES registry on June 8, 2021. The provider is doing business as Advanced Cosmetic & Laser Dentistry.

Where is Academy Dental Group, PA located?

Academy Dental Group, PA is located at 4 Marvin St, Dover, NJ 07801. The listed phone number is (973) 328-0022.

What is Academy Dental Group, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Academy Dental Group, PA was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.