PREMIUM DENTAL SPECIALTIES, PC
PREMIUM DENTAL SPECIALTIES, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1861834749, based in Mount Holly, NJ. The organization lists 2 taxonomy classifications, with Endodontics recorded as primary.
Getting there
The practice address on file is 176 MADISON AVE, Mount Holly, NJ 08060. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 22DI02143800 | NJ | Endodontics primary |
| 22DI02035800 | NJ | Periodontics |
This provider holds licence 22DI02143800 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Endodontics covers
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NUCC Health Care Provider Taxonomy, code 1223E0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223E0200X | Endodontics Endodontics | 22DI02143800 | NJ | primary |
| 1223P0300X | Periodontics Periodontics | 22DI02035800 | NJ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1861834749 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 22, 2013 |
| Last updated | Jul 22, 2013 |
| Status | Active |
| Practice address |
176 MADISON AVE Mount Holly, NJ 08060 (856) 235-4696 Fax (856) 235-0017 |
| Mailing address |
1221 N CHURCH ST SUITE 201 Moorestown, NJ 08057 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 8 | 3 | 4 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 7 | 3 | 8 | 7 | 8 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.