OrganizationActive
Advanced Dental of Woolwich
NPI 1144595356 · Pediatric Dentistry · Woolwich, NJ
Provider details
- NPI number
- 1144595356
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Laderrick Bullock, Owner(856) 832-4480
- License
- 22DIO2196800 (NJ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1630 Rt 322
Suite F
Woolwich, NJ 08085
Phone: (856) 832-4480
Street-level locationGet directions
Mailing address
1630 Rt 322
Woolwich, NJ 08085
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2012-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.