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

Pediatric Dentistry of South Jersey, PC

Organization Pediatric Dentistry · NPI 1104009943

Pediatric Dentistry of South Jersey, PC is a Pediatric Dentistry in Vineland, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3071 E Chestnut Ave Ste D-10
Vineland, NJ 08361-7847
Phone: (856) 205-0099
Fax: (856) 205-1633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DI16646 (NJ)

Record details

NPI number1104009943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Beck — Owner · (856) 205-0099
NPI enumeratedDecember 16, 2007
Last updated in NPPESDecember 16, 2007
Mailing address3071 E Chestnut Ave, Suite D-10, Vineland, NJ 08361-7847

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