Beautiful Smiles Dentistry Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI18340NJ Issued in NJ

Legal business name

BEAUTIFUL SMILES DENTISTRY INC.

Practice address

166 Main St Ste 1B
Lincoln Park, NJ 07035-1791

Phone

(973) 628-1449

Fax

(973) 696-0037

NPI assigned

Nov 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John A Taltavall, DMDNPI 1851516926

Title

President

Phone

(973) 628-1449

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John Alfred Taltavall III, DMD

  • General Practice Dentistry
  • Ridgefield Park, NJ
  • NPI 1851516926
  NPD (past) Authorized official
• William M Kaplan, D.M.D.

  • General Practice Dentistry
  • Lincoln Park, NJ
  • NPI 1376586917
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1285030569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "166 MAIN STREET SUITE 1B",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070350457",
            "telephone_number": "973-628-1449",
            "fax_number": "973-696-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAIN ST STE 1B",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351791",
            "telephone_number": "973-628-1449",
            "fax_number": "973-696-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "TALTAVALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-628-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI18340NJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Anthony Ashman
• Justin Babu, PHARMD.
• Julie Baker
• Jorge Eduardo Barreto
• Nancy Barrett, MASSAGE THERAPIST
• Isabella Beninate, CF-SLP
• Borough of Lincoln Park
• Anju Budhwani, M.D.
• Camkalllc
• Matthew Cannizzaro

• General Practice Dentistry in Lincoln Park, NJ
• Providers in Lincoln Park, 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 Nov 13, 2014; 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.