Organization Active NPI

Wayne Dental Arts, LLC

Doing business as Wayne Dental Care

  • General Practice Dentistry
  • Wayne, NJ
National Provider Identifier
1063628550
Registry record updated Sep 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI17675 Issued in NJ
Legal business name
WAYNE DENTAL ARTS, LLC
Doing business as
Wayne Dental Care
Practice address
601 Hamburg Tpke
Suite 206
Wayne, NJ 07470-2048
Phone
(973) 956-7772
Fax
(973) 956-8788
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2008

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

Authorized official

Name
Dr. Ross Lesser, DMDNPI 1548476021
Title
Owner
Phone
(973) 956-7772

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI17675 NJ Primary

Addresses

Primary practice location

601 Hamburg Tpke
Suite 206
Wayne, NJ 07470-2048

Mailing address

601 Hamburg Tpke
Suite 206
Wayne, NJ 07470-2048
Phone (973) 956-7772

Other names 1

  • Wayne Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

601 Hamburg Tpke
Ste 206
Wayne, NJ 07470
Phone (973) 904-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220745600000",
    "number": "1063628550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE",
            "address_2": "SUITE 206",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702048",
            "telephone_number": "973-956-7772",
            "fax_number": "973-956-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE",
            "address_2": "SUITE 206",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702048",
            "telephone_number": "973-956-7772",
            "fax_number": "973-956-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-09-07",
        "status": "A",
        "authorized_official_last_name": "LESSER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-956-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.