Dennysmilesnj PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENNYSMILESNJ PC

Practice address

3508 Park Ave
Weehawken, NJ 07086-6006

Phone

(201) 864-4730

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Ambar Guerrero

Title

Treatment Coordinator

Phone

(347) 447-1289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1306588801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 PARK AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866006",
            "telephone_number": "201-864-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 PARK AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866006",
            "telephone_number": "201-864-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNYSMILESNJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "AMBAR",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "347-447-1289"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.