MEDICARE: DENTAL WELLNESS NJ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1700732401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL WELLNESS NJ

Provider Business Mailing Address
First Line	:	750 NJ ROUTE 73
Second Line	:	#102A
City	:	MARLTON
State	:	NJ
Zip	:	08053
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 NJ ROUTE 73
Second Line	:	#102A
City	:	MARLTON
State	:	NJ
Zip	:	08053
Country	:	US
Telephone Number	:	856-983-2232
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL MANAGER
Name	:	LYNZEE CARTER
Credential	:
Telephone Number	:	609-892-0775

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “DENTAL WELLNESS NJ ” Practice Location

Language	Start Address	Practice Location

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