Provider Demographics
NPI:1508075169
Name:VOORHEES FAMILY DENTISTRY, LLC
Entity Type:Organization
Organization Name:VOORHEES FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERNO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-784-4747
Mailing Address - Street 1:703 WHITE HORSE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2495
Mailing Address - Country:US
Mailing Address - Phone:856-784-4747
Mailing Address - Fax:856-784-3787
Practice Address - Street 1:703 WHITE HORSE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2495
Practice Address - Country:US
Practice Address - Phone:856-784-4747
Practice Address - Fax:856-784-3787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty