Active NPI
Gentle Cosmetic and Laser Dentistry, LLC
- General Practice Dentistry
- Manahawkin, NJ
National Provider Identifier
1093875981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D101547600
- Legal business name
- GENTLE COSMETIC AND LASER DENTISTRY, LLC
- Practice address
- 169 N Main St
Manahawkin, NJ 08050-2933 - Phone
- (609) 597-6990
- Fax
- (609) 597-2013
- NPI assigned
- Dec 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karin Miller, D.M.D.
- Title
- Managing Member
- Phone
- (609) 597-6990
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22D101547600 | NJ | Primary |
Addresses
Primary practice location
169 N Main St
Manahawkin, NJ 08050-2933
Mailing address
1943 Merrimac Dr
Toms River, NJ 08753-3190
Phone (732) 929-0413
National Provider Directory
National Provider DirectoryLocations
169 N Main St
Manahawkin, NJ 08050
Phone (609) 597-6990
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.
-
- General Practice Dentistry
- Manahawkin, NJ
- NPI 1629138508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093875981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 MERRIMAC DR",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087533190",
"telephone_number": "732-929-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 N MAIN ST",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502933",
"telephone_number": "609-597-6990",
"fax_number": "609-597-2013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE COSMETIC AND LASER DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KARIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "609-597-6990",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D101547600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.