Organization Active NPI

Franklin Dental Center PA

  • Dentist
  • Franklin Lakes, NJ
National Provider Identifier
1265505739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI017981 Issued in NJ
Legal business name
FRANKLIN DENTAL CENTER PA
Practice address
574 Franklin Ave
Franklin Lakes, NJ 07417
Phone
(201) 891-5080
Fax
(201) 891-5581
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Durdana Gem Gill, DMD
Title
Owner
Phone
(201) 891-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI017981 NJ Primary

Addresses

Primary practice location

574 Franklin Ave
Franklin Lakes, NJ 07417

Mailing address

574 Franklin Ave
Franklin Lakes, NJ 07417
Phone (201) 891-5080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265505739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07417",
            "telephone_number": "201-891-5080",
            "fax_number": "201-891-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07417",
            "telephone_number": "201-891-5080",
            "fax_number": "201-891-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "DURDANA",
        "authorized_official_middle_name": "GEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-891-5080",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI017981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.