Dental Kidz, Limited Liability Company

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTAL KIDZ, LIMITED LIABILITY COMPANY

Practice address

24 Commerce St
11TH Floor
Newark, NJ 07102-4060

Phone

(973) 204-4006

Fax

(800) 757-3051

NPI assigned

Sep 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Harvell

Title

Ceo

Phone

(973) 204-4006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1023268935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COMMERCE ST",
            "address_2": "11TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024060",
            "telephone_number": "973-204-4006",
            "fax_number": "800-757-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMMERCE ST",
            "address_2": "11TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024060",
            "telephone_number": "973-204-4006",
            "fax_number": "800-757-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL KIDZ, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "HARVELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-204-4006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Digiacomo MD LLC
• Lakeisha Marie Dennis, RN
• Unknown Dennis, RD
• Cristina Dennison, MD
• Dental Health Associates PA
• Sarah Suzanne Deol, MD
• Nishitha Reddy Depa, M.D.
• David A. Depaolis, D.C.
• Ariane Monique Chua Dequina, MSN, RN, NP-C, CMSRN
• Mariette Dermendjian, M.D.

• Pediatric Dentistry in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.