Provider Demographics
NPI:1245285063
Name:DENTAL ARTS OF SOUTH JERSEY, P.C.
Entity type:Organization
Organization Name:DENTAL ARTS OF SOUTH JERSEY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-783-5777
Mailing Address - Street 1:1001 LAUREL OAK RD
Mailing Address - Street 2:SUITE C1
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3506
Mailing Address - Country:US
Mailing Address - Phone:856-783-5777
Mailing Address - Fax:856-783-1095
Practice Address - Street 1:1001 LAUREL OAK RD
Practice Address - Street 2:SUITE C1
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3506
Practice Address - Country:US
Practice Address - Phone:856-783-5777
Practice Address - Fax:856-783-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ121181223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty