Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215046727 Individual Practitioner Female Practitioner

Dr. Keri Fedullo , DMD

Dentist - General Practice • Ship Bottom, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Keri Fedullo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ship Bottom, NJ. Practice services are available at 508 LONG BEACH BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

508 Long Beach Blvd

Ship Bottom, NJ 080084727

Telephone 6095979290
Fax 6095972702
Associated Practice Facility / Clinic
🏢 Ocean Family Dental, P.c. Facility NPI 1144323783

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ship Bottom, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Ship Bottom, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02219200

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1326340043

Doctor of Dental Surgery

NPI 1477670222
Dr. Sean Martin , DMD

Dentist - General Practice

NPI 1609992619

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 508 LONG BEACH BLVD, SHIP BOTTOM, NJ 080084727 (Tel: 6095979290)

📍
Updated Business Mailing Address July 08, 2007

Registered at 508 LONG BEACH BLVD, SHIP BOTTOM, NJ 080084727 (Tel: 6095979290)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KERI FEDULLO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #22DI02219200 in NJ)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215046727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

508 Long Beach Blvd

Ship Bottom, NJ 080084727

Phone: 6095979290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.