ADVANCED DENTAL OF WOOLWICH
NPI 1144595356
Dentist - Pediatric Dentistry in Woolwich, NJ

NPI Status: Active since March 21, 2012

Contact Information

1630 RT 322
SUITE F
WOOLWICH, NJ
ZIP 08085
Phone: (856) 832-4480

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  • Organization
  • Dentist
  • Pediatric Dentistry

About ADVANCED DENTAL OF WOOLWICH

This page provides the complete NPI Profile along with additional information for Advanced Dental Of Woolwich, a provider established in Woolwich, New Jersey operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1144595356 assigned on March 2012. The practitioner's primary taxonomy code is 1223P0221X with license number 22DIO2146400 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. Advanced Dental Of Woolwich operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Laderrick Bullock (Owner)

NPI
1144595356
Provider Name
ADVANCED DENTAL OF WOOLWICH
Entity Type
Organization
Location Address
1630 RT 322 SUITE F WOOLWICH, NJ 08085
Location Phone
(856) 832-4480
Mailing Address
1630 RT 322 SUITE F WOOLWICH, NJ 08085
Mailing Phone
(856) 832-4480
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2012
Last Update Date
03-21-2012
Code Navigator

A dentist like Advanced Dental Of Woolwich 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
22DIO2146400
License State
NJ
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223P0700XDental Providers

Dentist
Prosthodontics

22DIO2196800 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. LADERRICK BULLOCK

Authorized Official Title
OWNER
Authorized Official Phone
(856) 832-4480

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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.
1144595356
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218410910310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 9 + 1 + 0 + 3 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1144595356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144595356, enumerated in the NPI registry as an "organization" on March 21, 2012

The provider is located at 1630 Rt 322 Suite F Woolwich, Nj 08085 and the phone number is (856) 832-4480

This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry

This NPI record was last updated on March 21, 2012. 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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