M&N Dental of Fort Lee

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02479500 Issued in NJ

Legal business name

M&N DENTAL OF FORT LEE

Practice address

2500 Lemoine Ave FL 4
Suite 401
Fort Lee, NJ 07024-6232

Phone

(201) 585-0500

Fax

(201) 585-0522

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Irina Kazbanov, DMD

Title

President

Phone

(201) 585-0500

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.

• Dana C Compton, DMD

  • Dentist
  • Fort Lee, NJ
  • NPI 1720402381
  NPD (past)

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1154769750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE FL 4",
            "address_2": "SUITE 401",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-585-0500",
            "fax_number": "201-585-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE FL 4",
            "address_2": "SUITE 401",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-585-0500",
            "fax_number": "201-585-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&N DENTAL OF FORT LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "KAZBANOV",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-585-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02479500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacques Myriama Lucien
• Lusky Corp
• Luxe Princeton LLC
• Danielle Lynch, PT, DPT
• Han Wool Lyu, D.M.D
• Risheng Ma, LAC
• Magnolia Adult Day Care LLC
• Magnolia Adult Day Habilitation LLC
• Lauren Virginia Malajian, PT, DPT
• Samel Maldonado, PH.D

• Dental Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, 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 Jun 5, 2013; 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.