Dental Charm LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02414200 Issued in NJ

Legal business name

DENTAL CHARM LLC

Practice address

116 Millburn Ave
Suite 109
Millburn, NJ 07041-1943

Phone

(973) 921-9097

Fax

(973) 921-9196

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Shick, DMD

Title

President

Phone

(973) 921-9097

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Paul Keybida, D.M.D.

  • Dentist
  • Millburn, NJ
  • NPI 1649475187
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1114338936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE",
            "address_2": "SUITE 109",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411943",
            "telephone_number": "973-921-9097",
            "fax_number": "973-921-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE",
            "address_2": "SUITE 109",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411943",
            "telephone_number": "973-921-9097",
            "fax_number": "973-921-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-921-9097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02414200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M. Delduca, D.M.D.
• Patricia Ann Delgaldo, LCSW
• Christine A Deloughry, OTR
• John R Demais, MD
• Michele M Demartino, ATC
• Dental Group of Millburn, P.a.
• Hima Desai
• Mahesh R Desai, MD
• Rajendra Desai, MD
• Sachi Desai, DO

• Dental Clinic/Center in Millburn, NJ
• Providers in Millburn, 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 May 14, 2014; 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.