Judy Vanessa Springer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DI019696 Issued in NJ

Practice address

969 S Orange Ave
Vailsburg Dental
East Orange, NJ 07018-1054

Phone

(973) 676-0035

Fax

(973) 676-0037

NPI assigned

Mar 10, 2007

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1063544658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 TURRELL AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792362",
            "telephone_number": "973-378-5837",
            "fax_number": "973-571-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 S ORANGE AVE",
            "address_2": "VAILSBURG DENTAL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181054",
            "telephone_number": "973-676-0035",
            "fax_number": "973-676-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "JUDY",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI019696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7644205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.