| NPI | 1033236625 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-26 |
| Last Updated | 2025-09-11 |
| Authorized Official | Michael Bundy Director Phone: 8566925400 |
| Mailing Address | 1030 Saint Georges Ave Avenel, NJ 07001-1390 United States 📍 View Map |
| Primary Practice Address | 1145 E Chestnut Ave Vineland, NJ 08360-5001 United States Phone: (856) 692-5400 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 1223G0001X – Dentist, General Practice | NJ | 22761 |
| No | 1223P0300X – Dentist, Periodontics | NJ | 09460 |
| No | 1223S0112X – Dentist, Oral and Maxillofacial Surgery | NJ | 07879 |
| Yes | 1223X0400X – Dentist, Orthodontics and Dentofacial Orthopedics | NJ | 23068 |
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About NPI 1033236625
Eastern Dental Of Vineland, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1033236625. The primary specialty listed is Dentist, Orthodontics and Dentofacial Orthopedics. The organization is located in Vineland, NJ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033236625?
NPI 1033236625 belongs to Eastern Dental Of Vineland, Llc, a Dentist, Orthodontics and Dentofacial Orthopedics in Vineland, NJ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033236625 active?
The current status of NPI 1033236625 in the NPPES registry is Active. The record was last updated on 2025-09-11.
What specialty is NPI 1033236625?
NPI 1033236625 is classified under the taxonomy Dentist, Orthodontics and Dentofacial Orthopedics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033236625?
You can verify NPI 1033236625 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033236625?
The primary practice address on file for NPI 1033236625 is 1145 E Chestnut Ave, Vineland, NJ 08360-5001. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033236625 issued?
NPI 1033236625 was first issued (enumerated) on 2007-03-26. The NPPES record was last updated on 2025-09-11.
Practice Location Map
Eastern Dental Of Vineland, Llc is located at 1145 E Chestnut Ave, Vineland, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eastern Dental Of Vineland, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033236625. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 22761 | NJ |
| Dentist, Periodontics | 09460 | NJ |
| Dentist, Oral and Maxillofacial Surgery | 07879 | NJ |
| Dentist, Orthodontics and Dentofacial Orthopedics | 23068 | NJ |