Dental Visions Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22D102299300 Issued in NJ

Legal business name

DENTAL VISIONS FAMILY DENTISTRY LLC

Practice address

62 Zaitz Farm Rd
Princeton Junction, NJ 08550-3324

Phone

(908) 255-5515

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By 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. Prathima Neruganti

Title

Sole Owner

Phone

(908) 285-5515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1104328772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ZAITZ FARM RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503324",
            "telephone_number": "908-255-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ZAITZ FARM RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503324",
            "telephone_number": "908-255-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL VISIONS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "NERUGANTI",
        "authorized_official_first_name": "PRATHIMA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "908-285-5515",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22D102299300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Options, Inc.
• Compass Health Group
• Kelly Davidson, RDN
• Johanna De Benedetto, LPC
• Mark E Deitch, DC
• Gregory Di Russo, MD
• Frank Peter Donnangelo, ED.D.
• Savannah Duarte, RN, BSN, IBCLC
• Marie-Lisa Dunbar, LCSW
• Heather Edwards, BCBA

• Dental Clinic/Center in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.