Organization Active NPI

Correctional Dental Associates

  • Exclusive Provider Organization
  • Trenton, NJ
National Provider Identifier
1194920587
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CORRECTIONAL DENTAL ASSOCIATES
Practice address
192 W State St
Trenton, NJ 08608-1104
Phone
(609) 599-2800
Fax
(609) 599-4128
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Leslie Ambrose Hayling Jr., D.M.D.NPI 1164627543
Title
President
Phone
(609) 599-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NJ Primary

Addresses

Primary practice location

192 W State St
Trenton, NJ 08608-1104

Mailing address

192 W State St
Trenton, NJ 08608-1104
Phone (609) 599-2800

National Provider Directory

National Provider Directory

Locations

192 W State St
Trenton, NJ 08608
Phone (609) 599-2800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194920587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 W STATE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086081104",
            "telephone_number": "609-599-2800",
            "fax_number": "609-599-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 W STATE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086081104",
            "telephone_number": "609-599-2800",
            "fax_number": "609-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAYLING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "AMBROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-599-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.