Group Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GROUP DENTAL LLC

Practice address

479 N Midland Ave Ste B
Saddle Brook, NJ 07663-5597

Phone

(201) 794-1117

Fax

(201) 794-0364

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shahin Ghobadi, D.M.D

Title

Doctor

Phone

(201) 794-1117

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1124436886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 N MIDLAND AVE STE B",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635597",
            "telephone_number": "201-794-1117",
            "fax_number": "201-794-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 N MIDLAND AVE STE B",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635597",
            "telephone_number": "201-794-1117",
            "fax_number": "201-794-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "GHOBADI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-794-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Gorin, PT, DPT
• Melissa Gosselin
• Caryn Graboski, MS, CCC-SLP
• Jamie Graziano, PSY.D.
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• Erica Guardascione, M.S. CCC-SLP
• Guardian Recovery - Saddle Brook Counseling Center
• Luz Guevara de Storti
• Patricia Jane Halloran
• Khaled Hammouda, MD

• Dentist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.