Advanced Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCED DENTAL

Practice address

735 Mount Prospect Ave
Newark, NJ 07104-3111

Phone

(973) 485-8989

Fax

(973) 485-8909

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Miguel B. Pou, DDS

Title

Partner

Phone

(973) 485-8989

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.

• Lemuel Obed Rodriguez, DDS

  • General Practice Dentistry
  • Elizabeth, NJ
  • NPI 1942976493
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1164747457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043111",
            "telephone_number": "973-485-8989",
            "fax_number": "973-485-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043111",
            "telephone_number": "973-485-8989",
            "fax_number": "973-485-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-485-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afsoun Adibi
• Stephanie Abena Tiwaa Adjei, MD
• Adonai Pharmacy LLC (Adonai Pharmacy)
• Bilge Adsay-Erdem, D.D.S.
• Susan Ann Adubato, PHD
• Advanced Dental Care P.C
• Advanced Foot & Ankle Center Inc.
• Advanced Imaging Center LLC
• Advanced Imaging Medical LLC
• Advanced Spine & Medical Care PC

• Dental Clinic/Center in Newark, NJ
• Providers in Newark, 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 Mar 30, 2010; 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.