Provider Demographics
NPI:1992808547
Name:CALEM, BERNARD (DMD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:CALEM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 JACKSON RD STE A5
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9279
Mailing Address - Country:US
Mailing Address - Phone:609-953-3700
Mailing Address - Fax:609-953-3700
Practice Address - Street 1:285 S CHURCH ST
Practice Address - Street 2:SUITE 7
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2773
Practice Address - Country:US
Practice Address - Phone:856-439-1200
Practice Address - Fax:856-439-1106
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020864011223P0300X
NJDI020864001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics