Crestwood Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRESTWOOD FAMILY DENTAL

Practice address

70 Lacey Rd
Whiting, NJ 08759-2931

Phone

(732) 350-7999

Fax

(732) 350-7961

NPI assigned

Dec 15, 2005

Last updated

Jan 3, 2008By 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

Edward PollerNPI 1780660803

Title

President

Phone

(732) 914-1039

Specialties & licenses 1

Addresses

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.

• Edward B Poller, DDS

  • General Practice Dentistry
  • Toms River, NJ
  • NPI 1780660803
  Authorized official Same address or phone

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1215913900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537643",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592931",
            "telephone_number": "732-350-7999",
            "fax_number": "732-350-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "POLLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-914-1039"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Care at Whiting LLC
• Kirsten L. Corcoran, HEARING AID DISPENSE
• CPL (Whiting) LLC (Whiting Healthcare Center)
• CPL Whiting LLC (Whiting Health Care Center)
• Crest Whiting Physical Therapy
• Deena Csukardi, RDN
• Lynda Marie Cuccinello, PTA
• Mary E Cummings, PTA
• Frances Aida Cybenko, APRN, PMHNP-BC
• Karambir Singh Dalal, M.D.

• General Practice Dentistry in Whiting, NJ
• Providers in Whiting, 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 Jan 3, 2008; 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.