Jr Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01439000 Issued in NJ

Legal business name

JR DENTAL LLC

Practice address

8 Baldwin Ave
#2B
Jersey City, NJ 07304-3154

Phone

(201) 432-6000

Fax

(973) 669-0551

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lon J Rosen, DDS

Title

Sole Member

Phone

(201) 960-5790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1255642062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BALDWIN AVE",
            "address_2": "#2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043154",
            "telephone_number": "201-432-6000",
            "fax_number": "973-669-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BALDWIN AVE",
            "address_2": "#2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043154",
            "telephone_number": "201-432-6000",
            "fax_number": "973-669-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "201-960-5790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01439000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey 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 25, 2010; 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.