Lincoln Commons Dental Assoc, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17918 Issued in NJ

Legal business name

LINCOLN COMMONS DENTAL ASSOC, PA

Practice address

59 Beaverbrook Rd
Suite 301
Lincoln Park, NJ 07035-1794

Phone

(973) 686-0060

Fax

(973) 686-0770

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Mark Defonte, DMDNPI 1861542169

Title

Dentist

Phone

(973) 686-0060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Defonte, DMD

  • General Practice Dentistry
  • Lincoln Park, NJ
  • NPI 1861542169
  NPD (past) Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295940542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BEAVERBROOK ROAD",
            "address_2": "SUITE 301",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "07035",
            "telephone_number": "973-686-0060",
            "fax_number": "973-686-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BEAVERBROOK RD",
            "address_2": "SUITE 301",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351794",
            "telephone_number": "973-686-0060",
            "fax_number": "973-686-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COMMONS DENTAL ASSOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEFONTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-686-0060",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kritzer, OPTICIAN
• Julie Ann Kulinski, D.P.T.
• Theresa Cecylija Leszczynski
• Chuen Sing Leung, LMT
• Lifestyle Nutrition
• Lincoln Park Board of Education
• Lincoln Park Care Center LLC
• Lincoln Park Health Department
• Lincoln Park Hospice
• Lincoln Park Physical Therapy and Sports Rehabilitation, LLC

• 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 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.