Provider Demographics
NPI:1073611976
Name:STANTON, JANINE (DMD, RN, BSN)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:
Last Name:STANTON
Suffix:
Gender:F
Credentials:DMD, RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WHITE HORSE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4406
Mailing Address - Country:US
Mailing Address - Phone:856-783-1155
Mailing Address - Fax:856-346-4169
Practice Address - Street 1:1000 WHITE HORSE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4406
Practice Address - Country:US
Practice Address - Phone:856-783-1155
Practice Address - Fax:856-346-4169
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice