Organization Active NPI

Gentle Cosmetic and Laser Dentistry, LLC

  • General Practice Dentistry
  • Manahawkin, NJ
National Provider Identifier
1093875981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D101547600 Issued in NJ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karin Miller, D.M.D.NPI 1629138508
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.