LUMINA DENTAL SERVICES LLC – NPI #1770316382
Clinic/Center

LUMINA DENTAL SERVICES LLC is an AHC clinic located in MARLTON, NJ. NPPES has assigned the NPI number 1770316382 to LUMINA DENTAL SERVICES LLC on August 21, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUMINA DENTAL SERVICES LLC below.

NPI Profile for
LUMINA DENTAL SERVICES LLC

NPI Number
1770316382
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUMINA DENTAL SERVICES LLC
Primary location
105 MEDFORD-EVESBORO RD B
MARLTON, NJ 08053
Phone: (856) 985-0330 Fax:
Mailing address
2412 CHESTNUT HILL DR
CINNAMINSON, NJ 08077-3623
Phone: (702) 600-3964 Fax:
Organization Subpart
No
Authorized Official
ROXANA MACIEJESKI
DENTIST
Phone: (702) 600-3964
Updated
Certification Date
Aug 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.