Healthcare Provider Details

I. General information

NPI: 1508075169
Provider Name (Legal Business Name): VOORHEES FAMILY DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 WHITE HORSE RD SUITE 2
VOORHEES NJ
08043-2495
US

IV. Provider business mailing address

703 WHITE HORSE RD SUITE 2
VOORHEES NJ
08043-2495
US

V. Phone/Fax

Practice location:
  • Phone: 856-784-4747
  • Fax: 856-784-3787
Mailing address:
  • Phone: 856-784-4747
  • Fax: 856-784-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH L PERNO
Title or Position: OWNER
Credential: D.D.S.
Phone: 856-784-4747