Active NPI
Advanced Dental Care of Jackson LLC
- Public Health Dentistry
- Jackson, NJ
National Provider Identifier
1245949510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- ADVANCED DENTAL CARE OF JACKSON LLC
- Practice address
- 2121 W County Line Rd
Jackson, NJ 08527-2380 - Phone
- (732) 363-1331
- NPI assigned
- Nov 15, 2022
- Last updated
- Nov 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sheba Beitler, DMD
- Title
- Owner
- Phone
- (973) 897-6257
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | Primary |
Addresses
Primary practice location
2121 W County Line Rd
Jackson, NJ 08527-2380
Mailing address
2121 W County Line Rd
Jackson, NJ 08527-2380
Phone (732) 363-1331
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1891768131
-
- General Practice Dentistry
- Sea Girt, NJ
- NPI 1861414146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1245949510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W COUNTY LINE RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272380",
"telephone_number": "732-363-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W COUNTY LINE RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272380",
"telephone_number": "732-363-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DENTAL CARE OF JACKSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "BEITLER",
"authorized_official_first_name": "SHEBA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-897-6257",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
- Able ABA
- Penina C. Abraham, LMFT
- Abria ABA Services NJ LLC (Abria ABA Services NJ)
- Karen Jacklyn Acquaviva, PTA
- Acute Care at Home PC
- Advanced Dentistry of Jackson, LLC
- Advanced Spine Care and Physical Rehabilitation
- Advanced Spine Care and Physical Rehabilitation,LLC
- Advancing Opportunities, Inc.
- Advancing Opportunities, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.