Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastern Dental of Marlton, LLC

Organization General Practice Dentistry · NPI 1861519456

Eastern Dental of Marlton, LLC is a General Practice Dentistry in Marlton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8001 Lincoln Dr W Ste A
Marlton, NJ 08053-3211
Phone: (856) 983-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 23068 (NJ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11364 (NJ)
Periodontics Taxonomy 1223P0300X · Licence 09460 (NJ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 07879 (NJ)

Record details

NPI number1861519456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lewis Proffitt — Director · (856) 983-5400
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1030 Saint Georges Ave, Avenel, NJ 07001-1390

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