Active NPI
Dental Specialists of NJ LLC
- General Practice Dentistry
- Bayonne, NJ
National Provider Identifier
1235844929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL SPECIALISTS OF NJ LLC
- Practice address
- 950 Avenue C
Bayonne, NJ 07002 - Phone
- (201) 339-8019
- NPI assigned
- Jan 18, 2023
- Organization subpart
- Yes
- Parent organization
- DENTAL SPECIALISTS OF NJ LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Michelle Buntzen
- Title
- Regional Operations
- Phone
- (201) 694-5290
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | |||
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
950 Avenue C
Bayonne, NJ 07002
Mailing address
180 Old Tappan Road
Building 1 Second Floor
Old Tappan, NJ 07675
Phone (201) 694-5290
National Provider Directory
National Provider Directory- Part of
- Dental Specialists of NJ LLC
Locations
180 Old Tappan Rd
Ste 1
Old Tappan, NJ 07675
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bayonne, NJ
- NPI 1902283724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1235844929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 OLD TAPPAN ROAD",
"address_2": "BUILDING 1 SECOND FLOOR",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "201-694-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 AVENUE C",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-339-8019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL SPECIALISTS OF NJ LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL SPECIALISTS OF NJ LLC",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "BUNTZEN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "REGIONAL OPERATIONS",
"authorized_official_telephone_number": "201-694-5290",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.