Cosmetic & Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16515 Issued in NJ

Legal business name

COSMETIC & FAMILY DENTISTRY PA

Practice address

26-07 Broadway
Suite 22
Fair Lawn, NJ 07410-3832

Phone

(201) 797-2190

Fax

(201) 797-1929

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ben M Kershenbaum, D.M.D.

Title

President

Phone

(201) 797-2190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295816783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY",
            "address_2": "SUITE 22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103832",
            "telephone_number": "201-797-2190",
            "fax_number": "201-797-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY",
            "address_2": "SUITE 22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103832",
            "telephone_number": "201-797-2190",
            "fax_number": "201-797-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERSHENBAUM",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-797-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "16515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Lisa Coppola, LCSW
• Jessica Cordova
• Corera Labs Inc
• Corera Solution LLC
• James S Cornell, MD
• Katelyn Mary Costello, LCSW
• Marian Couceiro
• Counseling Center at Fair Lawn, LLC
• Maryse Leah Cox
• Collin Russell Creange, M.D.

• General Practice Dentistry in Fair Lawn, NJ
• Providers in Fair Lawn, 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 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.