Dentium Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTIUM DENTAL

Practice address

965 Avenue C
Bayonne, NJ 07002-3019

Phone

(201) 339-3993

NPI assigned

Sep 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reshma Shetty, DDSNPI 1750690111

Title

Dentist

Phone

(732) 979-8008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reshma D Shetty, DDS

  • Dentist
  • Jersey City, NJ
  • NPI 1750690111
  NPD (past) Authorized official
• Joseph Anthony Susek, DMD

  • General Practice Dentistry
  • Bayonne, NJ
  • NPI 1801942396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536364800000",
    "number": "1003399882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MONTGOMERY ST APT 16F",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024628",
            "telephone_number": "201-339-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023019",
            "telephone_number": "201-339-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIUM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "RESHMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-979-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291323",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Del Re, PT, DPT
• Jobelle O Delbanco, RN
• Maileen Dematera, RPH
• Dental Associates of Bayonne
• Dental Specialists of NJ LLC
• Kunal Charudatta Deolankar, MD
• Shelby Jeanne Derrick, PHARMD
• Jyoti M Deshpande, MD
• Devaleq Consulting LLC
• Princess-Ann Dewar

• Dental Clinic/Center in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.