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

South Jersey Center for Advanced Dentistry, LLC

Organization Prosthodontics · NPI 1760006209

South Jersey Center for Advanced Dentistry, LLC is a Prosthodontics in Marlton, New Jersey. Registered with an NPI since 2020.

In the registry since
2020
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

750 Route 73 S Ste 209
Marlton, NJ 08053-4133
Phone: (856) 988-7773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1760006209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laderrick Bullock — Owner · (856) 988-7773
Other names Sj Center For Advanced Dentistry
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address20 Box Turtle Ln, Sicklerville, NJ 08081-5682

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