Mountain Lakes Dental Associates, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01758000 Issued in NJ

Legal business name

MOUNTAIN LAKES DENTAL ASSOCIATES, PA

Practice address

3125 State Route 10
Suite 1B
Denville, NJ 07834-3493

Phone

(973) 328-7199

Fax

(973) 328-7122

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Kin Eng, D.M.D.NPI 1508873068

Title

President

Phone

(973) 328-7199

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Peter Kin Eng, D.M.D.

  • General Practice Dentistry
  • Denville, NJ
  • NPI 1508873068
  NPD (past) Authorized official
• Daniel Greenfield, DMD

  • General Practice Dentistry
  • Denver, CO
  • NPI 1649842220
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043225451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 STATE ROUTE 10",
            "address_2": "SUITE 1B",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343493",
            "telephone_number": "973-328-7199",
            "fax_number": "973-328-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 STATE ROUTE 10",
            "address_2": "SUITE 1B",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343493",
            "telephone_number": "973-328-7199",
            "fax_number": "973-328-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAKES DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "KIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-328-7199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01758000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scott Bennett Moses, DVM
• Winston Chan Iu Moy, MD
• Jacqueline Ana Moyer, FNP-C
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• Meghana Reddy Muddam, M.D.
• Alan S Mufson, MD

• General Practice Dentistry in Denville, NJ
• Providers in Denville, 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.