Old Bridge Dental Practice LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OLD BRIDGE DENTAL PRACTICE LLC

Practice address

125 County Rd 516
Old Bridge, NJ 08857-1421

Phone

(732) 967-2214

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By 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

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1164154449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COUNTY RD 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571421",
            "telephone_number": "732-967-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COUNTY RD 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571421",
            "telephone_number": "732-967-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE DENTAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Old Bridge Center of Physical Therapy Inc
• Old Bridge Dental Arts
• Old Bridge Dental Arts
• Old Bridge Dental Care
• Old Bridge Dental Center
• Old Bridge Drugs and Surgicals LLC
• Old Bridge Family Eyecare LLC
• Old Bridge Family Orthodontics LLC
• Old Bridge First Aid and Rescue Squad of Madison Township Inc
• Old Bridge Laboratories Inc

• Dentist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.