David R Edenbaum is a Periodontics in Marlton, New Jersey. David R Edenbaum practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David R Edenbaum is 1033300272. The last update date is 2007-08-05.
David R Edenbaum's current location address is 560 A Lippincott Drive, Marlton, New Jersey. You can contact this provider via phone number 8569851800 and fax number 8569857170. The mailing address for David R Edenbaum is 560 A Lippincott Drive, Marlton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David R Edenbaum |
|---|---|
| Address | 560 A Lippincott Drive, Marlton, New Jersey |
| Phone Number | 8569851800 |
| Fax Number | 8569857170 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1033300272 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2007-08-05 |
Provider Mailing Address Detail
| Address | 560 A Lippincott Drive |
|---|---|
| City | Marlton |
| State | New Jersey (NJ) |
| Post Code | 8035 |
| Phone Number | 8569851800 |
| Fax Number | 8569857170 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DI 17491 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to David R Edenbaum by the Centers for Medicare & Medicaid Services?
The David R Edenbaum has been assigned the NPI (National Provider Identifier) 1033300272. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David R Edenbaum is physically located?
The David R Edenbaum is physically situated at the following address: 560 A Lippincott Drive, Marlton, NJ, 8035.
What is David R Edenbaum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David R Edenbaum is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033300272 to David R Edenbaum?
The Centers for Medicare & Medicaid Services assigned the 1033300272 to David R Edenbaum on 2007-08-05.
When was the information related to David R Edenbaum most recently updated or refreshed?
The details pertaining to the David R Edenbaum, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-05.
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