L&M Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

L&M DENTAL GROUP LLC

Practice address

255 Main St
Ridgefield Park, NJ 07660-1598

Phone

(201) 440-0434

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Colarusso, DDSNPI 1710483185

Title

Dentist/Owner

Phone

(201) 803-8526

Specialties & licenses 1

Addresses

Other names 1

• Village Dental, P.A. Doing business as

Practitioners 1

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

• Michael Colarusso

  • Dentist
  • Ridgefield Park, NJ
  • NPI 1710483185
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1174358212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GOBLE TER",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601598",
            "telephone_number": "201-440-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&M DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "201-803-8526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Renee Kelly, RNC, IBCLC
• Keystone Treatment Center
• Paul K Kim, D.V.M.
• Annalise Korbul
• Kristin Ashley Koscs, PT
• Diane Lang, RN
• Nellie Lee, MD
• Xiaoping Liu
• Lisa Loesner
• Dawn Marie Looby

• General Practice Dentistry in Ridgefield Park, NJ
• Providers in Ridgefield Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.