RIVERSIDE PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI 1780474494
Dentist - Pediatric Dentistry in Medford, NJ

Q: What is Riverside Pediatric Dentistry And Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since May 07, 2025

30 JACKSON RD STE B2, MEDFORD, NJ 08055(609) 947-3526 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Riverside Pediatric Dentistry And Orthodontics NPPES

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

RIVERSIDE PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI 1780474494) is a healthcare organization registered as a pediatric dentistry in Medford, New Jersey and active in the NPI registry since May 2025. The organization lists Ashley Lebak, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1780474494

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameRIVERSIDE PEDIATRIC DENTISTRY AND ORTHODONTICS

Location Address30 JACKSON RD STE B2Medford, NJ 08055-9280

Mailing Address757 Westfield RdMoorestown, NJ 08057-2139

Phone(609) 947-3526

Organization SubpartNo

Authorized OfficialAshley LebakPediatric Dentist · (609) 947-3526

Enumeration DateMay 7, 2025

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1780474494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

30 JACKSON RD STE B2, Medford, NJ 08055

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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

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 Riverside Pediatric Dentistry And Orthodontics's NPI number?

The NPI number for Riverside Pediatric Dentistry And Orthodontics is 1780474494. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Riverside Pediatric Dentistry And Orthodontics located?

Riverside Pediatric Dentistry And Orthodontics is located at 30 Jackson Rd Ste B2, Medford, NJ 08055. The listed phone number is (609) 947-3526.

What is Riverside Pediatric Dentistry And Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Riverside Pediatric Dentistry And Orthodontics was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.