Organization Active NPI

Dear Tooth Fairy Pediatric Dentistry & Family Orthodontics LLC

  • Pediatric Dentistry
  • Jersey City, NJ
National Provider Identifier
1205745023
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DEAR TOOTH FAIRY PEDIATRIC DENTISTRY & FAMILY ORTHODONTICS LLC
Practice address
414 Grand St Ste 3
Jersey City, NJ 07302-4240
Phone
(217) 361-7647
NPI assigned
Sep 7, 2026
Last updated
Sep 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Dr. Sara Fatima, DDSNPI 1073067963
Title
Manager
Phone
(217) 361-7647

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

414 Grand St Ste 3
Jersey City, NJ 07302-4240

Mailing address

94 Buena Vista Ave
Piscataway, NJ 08854-4861
Phone (217) 361-7647

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1205745023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BUENA VISTA AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544861",
            "telephone_number": "217-361-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GRAND ST STE 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024240",
            "telephone_number": "217-361-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAR TOOTH FAIRY PEDIATRIC DENTISTRY & FAMILY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-361-7647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.