Healthy Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HEALTHY SMILES LLC

Practice address

1961 Morris Ave
Suite B1
Union, NJ 07083

Phone

(908) 688-3883

Fax

(908) 688-4086

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angelic Fortunato Wong, DDSNPI 1144387895

Title

Dentist Owner

Phone

(908) 688-3883

Specialties & licenses 1

Addresses

Other names 1

• Angelic F Wong DDS Former legal business name

Locations

Practitioners 2

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

• Angelic Fortunato Wong, DDS

  • Dentist
  • Union, NJ
  • NPI 1144387895
  NPD (past) Authorized official
• Colleen Marie Intatano, D.D.S.

  • General Practice Dentistry
  • Union, NJ
  • NPI 1134453053
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1043309396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 MORRIS AVE",
            "address_2": "SUITE B1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-3883",
            "fax_number": "908-688-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 MORRIS AVE",
            "address_2": "SUITE B1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-3883",
            "fax_number": "908-688-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ANGELIC",
        "authorized_official_middle_name": "FORTUNATO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "908-688-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic F Wong DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lisa R Hart, PT
• Shabnam Hassan
• Erin Leigh Healy, MD
• Heather Macleod, Ed.D., P.C.
• Alina Hedaya, PT, DPT, OCS, MDT
• Helena Home Care LLC
• Helping Hands Support Coordination Services LLC

• General Practice Dentistry in Union, NJ
• Providers in Union, 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 Dec 3, 2015; 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.