Pristine Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRISTINE SMILES LLC

Practice address

2301 E Evesham Rd Ste 105
Voorhees, NJ 08043-4502

Phone

(856) 361-8069

NPI assigned

Oct 30, 2021

Organization subpart

No

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

Authorized official

Name

Deepak Pankaj MehtaNPI 1922413442

Title

Owner

Phone

(856) 361-8069

Specialties & licenses 1

Addresses

Locations

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.

• Deepak Mehta, D.M.D.

  • Dentist
  • Laurel Springs, NJ
  • NPI 1922413442
  NPD Authorized official

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635552000000",
    "number": "1063176576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 ABITARE BLVD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432687",
            "telephone_number": "856-361-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "856-361-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-361-8069"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Evan Pressman, PH.D.
• Pressure Ulcer Prevention Services LLC
• Bryan Preston, PTA
• Gabriella Prettelt, RDN
• Aliyah Tamara Price-Perry
• Melanie Progar
• Promedica Senior Care of Voorhees NJ, LLC (ProMedica Skilled Nursing and Rehabilitation (Voorhees East))
• Pursuecare New Jersey PC
• Areej Qadri, MD
• Tianyi Qiu

• General Practice Dentistry in Voorhees, NJ
• Providers in Voorhees, 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 Oct 30, 2021; 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.