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SOUTHJERSEYDENTISTRY LLC
NPI 1821491317
Clinic/Center - Dental in Berlin, NJ

Active since September 29, 2014
368 S WHITE HORSE PIKE, BERLIN, NJ 08009(856) 240-0406 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southjerseydentistry Llc NPPES

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

SOUTHJERSEYDENTISTRY LLC (NPI 1821491317) is a healthcare organization registered as a dental in Berlin, New Jersey and active in the NPI registry since September 2014. The organization lists Kosha Shah, Manager, as its authorized official.

NPPES Registry Identity

NPI1821491317
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHJERSEYDENTISTRY LLC
Location Address368 S WHITE HORSE PIKEBerlin, NJ 08009-1954
Mailing Address368 S White Horse PikeBerlin, NJ 08009-1954 · (856) 240-0406
Phone(856) 240-0406
Organization SubpartNo
Authorized OfficialKosha ShahManager · (856) 240-0406
Enumeration DateSeptember 29, 2014
✔ NPI 1821491317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NJ · 22DI02287500
368 S WHITE HORSE PIKE, Berlin, NJ 08009
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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 Southjerseydentistry LLC's NPI number?

The NPI number for Southjerseydentistry LLC is 1821491317. It was assigned to this organization in the NPPES registry on September 29, 2014.

Where is Southjerseydentistry LLC located?

Southjerseydentistry LLC is located at 368 S White Horse Pike, Berlin, NJ 08009. The listed phone number is (856) 240-0406.

What is Southjerseydentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southjerseydentistry LLC was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.