Michele J. Dimaira, D.M.D., M.S. PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

17382 Issued in NJ

Legal business name

MICHELE J. DIMAIRA, D.M.D., M.S. PA

Practice address

170 Changebridge Rd BLDG C6
Montville, NJ 07045-9113

Phone

(973) 276-7926

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michele J Dimaira, D.M.D., M.S.NPI 1184731358

Title

Owner / President

Phone

(973) 276-7926

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.

• Michele J Dimaira, D.M.D., M.S.

  • Periodontics
  • Montville, NJ
  • NPI 1184731358
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306953567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG C6",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459113",
            "telephone_number": "973-276-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD BLDG C6",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459113",
            "telephone_number": "973-276-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE J. DIMAIRA, D.M.D., M.S. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMAIRA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "973-276-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "17382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Matisak
• Lora McHale, PA-C
• John K McNally, DDS
• Medyucare 1 LLC
• Neha Dalal Mehta, DPT
• Mira Vie at Montville Opco LLC
• Muznah Mirza, MS, RD
• MLT Medical LLC
• David Modrak, PHD
• Montville Center for Dentistry LLC

• Periodontics in Montville, NJ
• Providers in Montville, NJ by specialty
• Periodontics 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.