Active NPI
Pediatric Dentistry and Orthodontics Center LLC
- Dentist
- Midland Park, NJ
National Provider Identifier
1255995502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PEDIATRIC DENTISTRY AND ORTHODONTICS CENTER LLC
- Practice address
- 6 Prospect St Ste 1a
Midland Park, NJ 07432-1606 - Phone
- (201) 445-5555
- Fax
- (201) 445-5057
- NPI assigned
- Apr 23, 2019
- 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
- Victoria Johnson
- Title
- Cro
- Phone
- (941) 444-0558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
6 Prospect St Ste 1a
Midland Park, NJ 07432-1606
Mailing address
6 Prospect St Ste 1a
Midland Park, NJ 07432-1606
Phone (201) 445-5555
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Midland Park, NJ
- NPI 1912017930
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Midland Park, NJ
- NPI 1295846921
-
- Pediatric Dentistry
- Midland Park, NJ
- NPI 1336296961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1255995502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PROSPECT ST STE 1A",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321606",
"telephone_number": "201-445-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PROSPECT ST STE 1A",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321606",
"telephone_number": "201-445-5555",
"fax_number": "201-445-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC DENTISTRY AND ORTHODONTICS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-23",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "CRO",
"authorized_official_telephone_number": "941-444-0558"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.