SOUTH JERSEY CENTER FOR ADVANCED DENTISTRY, LLC
NPI 1760006209
Dentist - Prosthodontics in Marlton, NJ

Q: What is South Jersey Center For Advanced Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since June 01, 2020

750 ROUTE 73 S STE 209, MARLTON, NJ 08053(856) 988-7773 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About South Jersey Center For Advanced Dentistry, Llc NPPES

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

SOUTH JERSEY CENTER FOR ADVANCED DENTISTRY, LLC (NPI 1760006209), doing business as Sj Center For Advanced Dentistry, is a healthcare organization registered as a prosthodontics in Marlton, New Jersey and active in the NPI registry since June 2020. The organization lists Laderrick Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1760006209

Entity TypeOrganization

Primary Taxonomy1223P0700X

Legal Business NameSOUTH JERSEY CENTER FOR ADVANCED DENTISTRY, LLC

Location Address750 ROUTE 73 S STE 209Marlton, NJ 08053-4133

Mailing Address20 Box Turtle LnSicklerville, NJ 08081-5682 · (973) 202-0266

Phone(856) 988-7773

Organization SubpartNo

Authorized OfficialLaderrick BullockOwner · (856) 988-7773

Enumeration DateJune 1, 2020

NPPES CertifiedJune 1, 2020

✔ NPI 1760006209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

750 ROUTE 73 S STE 209, Marlton, NJ 08053

Open in Google Maps ↗

Other Names 1

Doing Business AsSj Center For Advanced Dentistry

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

Other Providers at the Same Location NPPES 2

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

DR. ANNE C. BARRETT D.M.D.

Dentist

750 ROUTE 73 S STE 209
MARLTON, NJ 08053

Burlington County (856) 988-7773

DRS. BARRETT & LUCCI, LLC

Dentist

750 ROUTE 73 S STE 209
MARLTON, NJ 08053

Burlington County (856) 988-7773

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 South Jersey Center For Advanced Dentistry, LLC's NPI number?

The NPI number for South Jersey Center For Advanced Dentistry, LLC is 1760006209. It was assigned to this organization in the NPPES registry on June 1, 2020. The provider is doing business as SJ Center for Advanced Dentistry.

Where is South Jersey Center For Advanced Dentistry, LLC located?

South Jersey Center For Advanced Dentistry, LLC is located at 750 Route 73 S Ste 209, Marlton, NJ 08053. The listed phone number is (856) 988-7773.

What is South Jersey Center For Advanced Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for South Jersey Center For Advanced Dentistry, LLC was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.