One and Only Complete Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02428800 Issued in NJ

Legal business name

ONE AND ONLY COMPLETE DENTAL, PC

Practice address

3916 Bergenline Ave Ste 2
Union City, NJ 07087-1612

Phone

(201) 865-5150

Fax

(201) 865-5962

NPI assigned

Jul 12, 2013

Last updated

Jun 30, 2015By 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

Dr. Charles J Ro, DMDNPI 1497085369

Title

President

Phone

(201) 836-4400

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Charles J Ro, DMD

  • General Practice Dentistry
  • Teaneck, NJ
  • NPI 1497085369
  NPD (past) Authorized official
• Peter F Fuentes, DMD

  • General Practice Dentistry
  • Union City, NJ
  • NPI 1538214168
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1245671718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663331",
            "telephone_number": "201-836-4400",
            "fax_number": "201-801-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BERGENLINE AVE STE 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871612",
            "telephone_number": "201-865-5150",
            "fax_number": "201-865-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE AND ONLY COMPLETE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "RO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02428800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Union City, NJ
• Providers in Union City, 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 Jun 30, 2015; 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.