Roger J. Oliva, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01797100 Issued in NJ

Legal business name

ROGER J. OLIVA, DMD

Doing business as

Indian Mills Dental

Practice address

1 Millstone Dr
Shamong, NJ 08088-8920

Phone

(609) 268-2222

Fax

(609) 268-8361

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By 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

Dr. Roger Oliva, DMDNPI 1942319009

Title

Owner

Phone

(609) 268-2222

Specialties & licenses 1

Addresses

Other names 1

• Indian Mills Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Oliva, DMD

  • General Practice Dentistry
  • Shamong, NJ
  • NPI 1942319009
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184733248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILLSTONE DR",
            "city": "SHAMONG",
            "state": "NJ",
            "postal_code": "080888920",
            "telephone_number": "609-268-2222",
            "fax_number": "609-268-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILLSTONE DR",
            "city": "SHAMONG",
            "state": "NJ",
            "postal_code": "080888920",
            "telephone_number": "609-268-2222",
            "fax_number": "609-268-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER J. OLIVA, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-268-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01797100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Mills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger Oliva, DMD
• Henrietta Ollivier, LPN
• Peter C Puleo, R.PH, CCP
• Rem New Jersey, Inc.
• Rem New Jersey, Inc.
• Brenda D. Teski, LPC
• Mary Thomas
• Tranquil Pines Counseling LLC
• Justin Tuman
• Ultra Sound Solutions LLC

• General Practice Dentistry in Shamong, NJ
• Providers in Shamong, 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 Aug 22, 2020; 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.