Organization Active NPI

Princeton Restorative & Implant Dentistry LLC

  • Prosthodontics
  • Princeton, NJ
National Provider Identifier
1033414560
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
PRINCETON RESTORATIVE & IMPLANT DENTISTRY LLC
Practice address
187 N Harrison St
Princeton, NJ 08540-3517
Phone
(609) 924-7910
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Stephen I Hudis, DDSNPI 1659414902
Title
Owner
Phone
(609) 924-7910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

187 N Harrison St
Princeton, NJ 08540-3517

Mailing address

187 N Harrison St
Princeton, NJ 08540-3517
Phone (609) 924-7910

National Provider Directory

National Provider Directory

Locations

187 N Harrison St
Princeton, NJ 08540
Phone (609) 924-7910

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1033414560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403517",
            "telephone_number": "609-924-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403517",
            "telephone_number": "609-924-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON RESTORATIVE & IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "HUDIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-924-7910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.