Center for Periodontal Health

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI00965700 Issued in NJ

Legal business name

CENTER FOR PERIODONTAL HEALTH

Practice address

507 Stillwells Corner Road
Freehold, NJ 07728

Phone

(732) 462-8181

Fax

(732) 462-0023

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Robert A Hersh, DDSNPI 1699840439

Title

President

Phone

(732) 462-8181

Specialties & licenses 1

Addresses

Other names 1

• Center for Oral Health Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Hersh, DDS

  • Periodontics
  • Freehold, NJ
  • NPI 1699840439
  NPD (past) Authorized official
• David A Lederman, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Freehold, NJ
  • NPI 1578587408
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275600447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 STILLWELLS CORNER ROAD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-462-8181",
            "fax_number": "732-462-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 STILLWELLS CORNER ROAD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-462-8181",
            "fax_number": "732-462-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PERIODONTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-462-8181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI00965700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Oral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Joseph Cataldi, LPC
• Christina Marie Cavalieri, FNP
• Rose Marie Cedola, OTR
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• Periodontics in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Periodontics in New Jersey

• 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.