Stacey A Yandoli is a West Deptford, New Jersey based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stacey A Yandoli is
22542 for Pediatric Dentistry in New Jersey. Her current practice location is
776 Grove Rd, West Deptford. Patients can reach her at
856-848-2211.
Stacey A Yandoli provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Stacey A Yandoli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Stacey A Yandoli |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 776 Grove Rd, West Deptford, New Jersey, 08086 |
| Phone: | 856-848-2211 |
| Fax: | 856-848-8630 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407873466 |
| NPI Enumeration Date: | 16 Jul, 2006 |
| NPI Last Update On: | 02 Oct, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey A Yandoli are as mentioned below.
| License Number | Specialization | State | Status | |
| 22542 | Pediatric Dentistry | New Jersey | Primary | |
| 2254200 | Pediatric Dentistry | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey A Yandoli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0109193 | Medicaid | New Jersey | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 776 Grove Rd, West Deptford, New Jersey |
| Zip: | 08086 |
| Phone Number: | 856-848-2211 |
| Fax Number: | 856-848-8630 |
Patients can reach Stacey A Yandoli at
776 Grove Rd, West Deptford, New Jersey or can
call to book an appointment on 856-848-2211.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.