Essex Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102165100 Issued in NJ

Legal business name

ESSEX DENTAL P.C.

Practice address

155 Roseland Ave.
Ste. 6
Caldwell, NJ 07006-5903

Phone

(973) 403-3455

Fax

(973) 403-7804

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anna M Chin, DDSNPI 1245326644

Title

Owner/Dentist

Phone

(973) 403-3455

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna M Chin, DDS

  • General Practice Dentistry
  • Caldwell, NJ
  • NPI 1245326644
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003900861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROSELAND AVE.",
            "address_2": "STE. 6",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065903",
            "telephone_number": "973-403-3455",
            "fax_number": "973-403-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ROSELAND AVE.",
            "address_2": "STE. 6",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065903",
            "telephone_number": "973-403-3455",
            "fax_number": "973-403-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "973-403-3455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102165100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Elliott
• Michael Elliott, LCSW
• Elm Psychological Services, PLLC
• Lisbeth English-McGovern, LCSW
• Scott Erichsen, D.C.
• Essex Primary Care PC
• Essex Rheumatology LLC
• Essex Union Podiatry LLP
• Eu-PT Shockwave LLC
• Andrew Daniel Evangelista, LCSW, LCADC

• General Practice Dentistry in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.