NPIMap

Organization Active NPI

Yourdentalist LLC

  • Dental Clinic/Center
  • Sea Girt, NJ
National Provider Identifier
1295414282
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YOURDENTALIST LLC
Practice address
2164 NJ-35
Building B
Sea Girt, NJ 08750
Phone
(732) 421-4371
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dr. Syed Hasan Husaini, DMDNPI 1295101004
Title
Ceo
Phone
(732) 421-4371

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2164 NJ-35
Building B
Sea Girt, NJ 08750

Mailing address

1801 Wagon Wheel CT
Freehold, NJ 07728-9117
Phone (732) 421-4371

Other names 1

  • YourDentalist LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1295414282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WAGON WHEEL CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289117",
            "telephone_number": "732-421-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 NJ-35",
            "address_2": "BUILDING B",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-421-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURDENTALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "HUSAINI",
        "authorized_official_first_name": "SYED HASAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-421-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YourDentalist LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.