South Orange Dental Center PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH ORANGE DENTAL CENTER PA

Practice address

481 S Orange Ave
South Orange, NJ 07079-2642

Phone

(973) 762-2660

Fax

(973) 762-5473

NPI assigned

Nov 26, 2021

Organization subpart

No

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

Authorized official

Name

Haniel Rosemond, DDS, FAGDNPI 1205040755

Title

Owner

Phone

(973) 762-2660

Specialties & licenses 2

Addresses

Tax ID family

South Orange Dental Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Orange Sleep Solutions

  • General Practice Dentistry
  • South Orange, NJ
  • NPI 1679239990
  NPD tax ID

Locations

Practitioners 1

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

• Haniel Chyler Rosemond, D.D.S., F.A.G.D.

  • General Practice Dentistry
  • South Orange, NJ
  • NPI 1205040755
  NPD Authorized official

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1316604275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792642",
            "telephone_number": "973-762-2660",
            "fax_number": "973-762-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792642",
            "telephone_number": "973-762-2660",
            "fax_number": "973-762-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ORANGE DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ROSEMOND",
        "authorized_official_first_name": "HANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-762-2660",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofoluwe O Songonuga, PT
• Beth L Sosin, MD
• South Mountain Dental Specialty Group
• South Mountain Orthopaedic Associates LLC
• South Orange Chiropractic Center
• South Orange Dental Center, P.a.
• South Orange Healthcare Co
• South Orange Medical Supplies Corp
• South Orange OB/GYN and Infertility Group
• South Orange Pharmacy LLC

• General Practice Dentistry in South Orange, NJ
• Providers in South Orange, 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 Nov 26, 2021; 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.