OrganizationActive
South Jersey Center for Advanced Dentistry, LLC
NPI 1760006209 · Prosthodontics · Marlton, NJ
South Jersey Center for Advanced Dentistry, LLC is a Prosthodontics organization in Marlton, NJ (NPI 1760006209).
Provider details
- NPI number
- 1760006209
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Laderrick Bullock, Owner(856) 988-7773
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
750 Route 73 S Ste 209
Marlton, NJ 08053-4133
Phone: (856) 988-7773
Approximate (ZIP-level) locationGet directions
Mailing address
20 Box Turtle Ln
Sicklerville, NJ 08081-5682
Other names (DBA / former)
- Doing business as
- Sj Center for Advanced Dentistry
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2020-06-01
- Certified
- 2020-06-01
Frequently asked questions
- What is South Jersey Center for Advanced Dentistry, LLC's NPI number?
- South Jersey Center for Advanced Dentistry, LLC's National Provider Identifier (NPI) is 1760006209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Jersey Center for Advanced Dentistry, LLC?
- South Jersey Center for Advanced Dentistry, LLC is classified in the NPPES registry as Prosthodontics (Dental Providers).
- Where is South Jersey Center for Advanced Dentistry, LLC located?
- South Jersey Center for Advanced Dentistry, LLC's practice location on file with NPPES is 750 Route 73 S Ste 209, Marlton, NJ 08053-4133.
- What is South Jersey Center for Advanced Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Jersey Center for Advanced Dentistry, LLC is (856) 988-7773.
- Who is the authorized official for South Jersey Center for Advanced Dentistry, LLC?
- The authorized official listed on South Jersey Center for Advanced Dentistry, LLC's NPPES record is Laderrick Bullock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Jersey Center for Advanced Dentistry, LLC's NPI active?
- Yes — South Jersey Center for Advanced Dentistry, LLC's NPI (1760006209) is active in the NPPES registry as of the last update on 2020-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.