NPIMap

Organization Active NPI

Island Dental , LLC

  • Dental Clinic/Center
  • Ship Bottom, NJ
National Provider Identifier
1205435005
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ISLAND DENTAL , LLC
Practice address
508 Long Beach Blvd
Ship Bottom, NJ 08008-4727
Phone
(609) 597-9290
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Sean Martin, DMDNPI 1609992619
Title
Presdient
Phone
(609) 494-4492

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

508 Long Beach Blvd
Ship Bottom, NJ 08008-4727

Mailing address

524 S Main St
West Creek, NJ 08092-3123
Phone (609) 597-9290

Other names 1

  • Ocean Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1205435005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080923123",
            "telephone_number": "609-597-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LONG BEACH BLVD",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084727",
            "telephone_number": "609-597-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DENTAL , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "609-494-4492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ship Bottom, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.