Organization Active NPI

CLZZ Dental LLC

Doing business as Promenade Smiles

  • Dental Clinic/Center
  • Hillsborough, NJ
National Provider Identifier
1063148302
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CLZZ DENTAL LLC
Doing business as
Promenade Smiles
Practice address
315 Route 206 Ste 903
Hillsborough, NJ 08844-4625
Phone
(732) 532-5554
NPI assigned
Jul 28, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Ricken Patel, DMDNPI 1396005203
Title
Co-Owner
Phone
(732) 213-0036

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

315 Route 206 Ste 903
Hillsborough, NJ 08844-4625

Mailing address

1 Executive Dr Ste 102
Monmouth Junction, NJ 08852-2446
Phone (732) 422-8668

Other names 1

  • Promenade Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

315 Route 206
Ste 903
Hillsborough, NJ 08844
Phone (732) 532-5554

1 Executive Dr
Ste 102
Monmouth Junction, NJ 08852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1063148302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR STE 102",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522446",
            "telephone_number": "732-422-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROUTE 206 STE 903",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444625",
            "telephone_number": "732-532-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLZZ DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RICKEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-213-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promenade Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.