OrganizationActive
Pediatric Dentistry of South Jersey, P.C.
NPI 1104009943 · Pediatric Dentistry · Vineland, NJ
Pediatric Dentistry of South Jersey, P.C. is a Pediatric Dentistry organization in Vineland, NJ (NPI 1104009943).
Provider details
- NPI number
- 1104009943
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- William Beck, Owner(856) 205-0099
- License
- DI16646 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3071 E Chestnut Ave
Suite D-10
Vineland, NJ 08361-7847
Phone: (856) 205-0099
Fax: (856) 205-1633
Street-level locationGet directions
Mailing address
3071 E Chestnut Ave
Vineland, NJ 08361-7847
Registry dates
- Enumerated
- 2007-12-16
- Last updated
- 2007-12-16
Frequently asked questions
- What is Pediatric Dentistry of South Jersey, P.C.'s NPI number?
- Pediatric Dentistry of South Jersey, P.C.'s National Provider Identifier (NPI) is 1104009943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of South Jersey, P.C.?
- Pediatric Dentistry of South Jersey, P.C. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of South Jersey, P.C. located?
- Pediatric Dentistry of South Jersey, P.C.'s practice location on file with NPPES is 3071 E Chestnut Ave, Vineland, NJ 08361-7847.
- What is Pediatric Dentistry of South Jersey, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of South Jersey, P.C. is (856) 205-0099.
- Who is the authorized official for Pediatric Dentistry of South Jersey, P.C.?
- The authorized official listed on Pediatric Dentistry of South Jersey, P.C.'s NPPES record is William Beck, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of South Jersey, P.C.'s NPI active?
- Yes — Pediatric Dentistry of South Jersey, P.C.'s NPI (1104009943) is active in the NPPES registry as of the last update on 2007-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.