SOMERDALE FAMILY DENTAL ASSOCIATES PA
NPI 1104847805
Dentist in Somerdale, NJ

NPI Status: Active since July 21, 2006

Contact Information

205 N WHITE HORSE PIKE
SOMERDALE, NJ
ZIP 08083
Phone: (856) 783-3499
Fax: (856) 783-9582

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  • Organization
  • Dentist

About SOMERDALE FAMILY DENTAL ASSOCIATES PA

This page provides the complete NPI Profile along with additional information for Somerdale Family Dental Associates Pa, a provider established in Somerdale, New Jersey operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1104847805 assigned on July 2006. The practitioner's primary taxonomy code is 122300000X with license number 13496 (NJ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Francine J Rebhun Dmd (Secretary)

NPI
1104847805
Provider Name
SOMERDALE FAMILY DENTAL ASSOCIATES PA
Entity Type
Organization
Location Address
205 N WHITE HORSE PIKE SOMERDALE, NJ 08083
Location Phone
(856) 783-3499
Location Fax
(856) 783-9582
Mailing Address
205 N WHITE HORSE PIKE SOMERDALE, NJ 08083
Mailing Phone
(856) 783-3499
Mailing Fax
(856) 783-9582
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Somerdale Family Dental Associates Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
13496
License State
NJ
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FRANCINE J REBHUN DMD

Authorized Official Title
SECRETARY
Authorized Official Phone
(856) 783-3499

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2655705MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104847805
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041641480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 4 + 1 + 4 + 8 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1104847805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649291345DR. SUSAN B TRAGER DMD
Individual
Dentist205 N WHITE HORSE PIKE
SOMERDALE, NJ 08083
(856) 783-3499
1275554966DR. FRANCINE J REBHUN DMD
Individual
Dentist205 N WHITE HORSE PIKE
SOMERDALE, NJ 08083
(856) 783-3499
1376286591DAG SOMERDALE, P.C.
Organization
Dentist (General Practice)205 N WHITE HORSE PIKE
SOMERDALE, NJ 08083
(856) 783-3499

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104847805, enumerated in the NPI registry as an "organization" on July 21, 2006

The provider is located at 205 N White Horse Pike Somerdale, Nj 08083 and the phone number is (856) 783-3499

This medical organization specializes in Dentist with taxonomy code 122300000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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