Organization Active NPI

Dental Arts of Freehold LLC

  • General Practice Dentistry
  • Freehold, NJ
National Provider Identifier
1265628333
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI21267 Issued in NJ
Legal business name
DENTAL ARTS OF FREEHOLD LLC
Practice address
1 Stonehurst Blvd
Freehold, NJ 07728-3205
Phone
(732) 462-4445
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Maksim Lyubarskiy, D.M.D.
Title
Owner
Phone
(732) 462-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI21267 NJ Primary

Addresses

Primary practice location

1 Stonehurst Blvd
Freehold, NJ 07728-3205

Mailing address

1 Stonehurst Blvd
Freehold, NJ 07728-3205
Phone (732) 462-4445

National Provider Directory

National Provider Directory

Locations

1 Stonehurst Blvd
Freehold, NJ 07728
Phone (732) 462-4445

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1265628333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONEHURST BLVD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283205",
            "telephone_number": "732-462-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONEHURST BLVD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283205",
            "telephone_number": "732-462-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF FREEHOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "LYUBARSKIY",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-462-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI21267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.