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

Riverside Pediatric Dentistry and Orthodontics

Organization Pediatric Dentistry · NPI 1780474494

Riverside Pediatric Dentistry and Orthodontics is a Pediatric Dentistry in Medford, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

30 Jackson Rd Ste B2
Medford, NJ 08055-9280
Phone: (609) 947-3526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1780474494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Lebak — Pediatric Dentist · (609) 947-3526
NPI enumeratedMay 7, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address757 Westfield Rd, Moorestown, NJ 08057-2139

Other providers in Medford