The Center for Esthetic Periodontics and Implantology, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

THE CENTER FOR ESTHETIC PERIODONTICS AND IMPLANTOLOGY, LLC

Practice address

723 N Beers St
Suite 1D
Holmdel, NJ 07733-1517

Phone

(732) 335-5885

Fax

(732) 335-5886

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Victoria H Mills

Title

Operations Coordinator

Phone

(732) 335-5885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sapna Patla, DDS

  • Periodontics
  • Holmdel, NJ
  • NPI 1912003070
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013048172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "SUITE 1D",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "732-335-5885",
            "fax_number": "732-335-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "SUITE 1D",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "732-335-5885",
            "fax_number": "732-335-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ESTHETIC PERIODONTICS AND IMPLANTOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "732-335-5885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohaib Tariq, PA-C
• Lisa Tate
• Grace Elizabeth Tesoriero, OTR/L
• Priya Thakker, M.D.
• The Bell Works Pharmacy LLC
• The Soulution LLC
• The Square Knot
• Therapeutic Rehab LLC
• Christine Carol Tintorer, M.D.
• Titan Diagnostic Imaging Services Inc.

• Periodontics in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Periodontics 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.