NPIMap

Organization Active NPI

Favorite Dentist, LLC

  • General Practice Dentistry
  • Lawrenceville, NJ
National Provider Identifier
1295272995
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO35333 Issued in PA
Legal business name
FAVORITE DENTIST, LLC
Practice address
3100 Princeton PK.
BLDG 2 1St Floor
Lawrenceville, NJ 08648
Phone
(609) 896-0589
Fax
(609) 895-1591
NPI assigned
Jan 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Dr. Maria Rhode, DMDNPI 1396764502
Title
President
Phone
(609) 896-0589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DSO35333 PA Primary

Addresses

Primary practice location

3100 Princeton PK.
BLDG 2 1St Floor
Lawrenceville, NJ 08648

Mailing address

3100 Princeton PK
BLDG 2 1St Floor
Lawrenceville, NJ 08648
Phone (609) 896-0589

Other names 1

  • Imagine Advanced Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

3100 Princeton Pike
Bldg 2
Lawrenceville, NJ 08648
Phone (609) 896-0589

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1295272995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PK",
            "address_2": "BLDG 2 1ST FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-896-0589",
            "fax_number": "609-895-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PK.",
            "address_2": "BLDG 2 1ST FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-896-0589",
            "fax_number": "609-895-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORITE DENTIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "RHODE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-896-0589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO35333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imagine Advanced Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.