West Monmouth Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST MONMOUTH DENTAL

Practice address

10 South Main Street
Allentown, NJ 08501

Phone

(609) 208-0220

Fax

(609) 208-0990

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sabastian J D'Amico Jr., D.M.D

Title

Dentist

Phone

(609) 208-0220

Specialties & licenses 1

Addresses

Tax ID family

Jackson Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Monmouth Dental

  dba Jackson Dental

  • General Practice Dentistry
  • Jackson, NJ
  • NPI 1679795116
  NPD tax ID

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.

• Jolene Bauer, D.M.D.

  • General Practice Dentistry
  • Allentown, NJ
  • NPI 1073767489
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093928038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085010296",
            "telephone_number": "609-208-0220",
            "fax_number": "609-208-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH MAIN STREET",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "08501",
            "telephone_number": "609-208-0220",
            "fax_number": "609-208-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MONMOUTH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "SABASTIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "609-208-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Anne Vineis, R.D.
• Vizzoni Pharmacy LLC (Allentown Pharmacy)
• John C Vizzoni, PHARM D
• Donna Watkins
• James A Webb, MD
• William S. Collier, DMD, PA
• Michael Wireman, RPH
• Kim R. Wojcik, D.C.
• Andrea Woodlock, DDS
• Youbuild LLC

• General Practice Dentistry in Allentown, NJ
• Providers in Allentown, 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 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.