Provider Demographics
NPI:1760989727
Name:VOORHEES DENTAL SMILES
Entity Type:Organization
Organization Name:VOORHEES DENTAL SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SWETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDDA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-230-6762
Mailing Address - Street 1:28 TUDOR CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2085
Mailing Address - Country:US
Mailing Address - Phone:908-230-6762
Mailing Address - Fax:
Practice Address - Street 1:102 WHITE HORSE RD W
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3610
Practice Address - Country:US
Practice Address - Phone:856-784-5061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02549900261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental