Dental Sanctuary of Fanwood LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL SANCTUARY OF FANWOOD LLC

Practice address

250 South Ave Ste 103
Fanwood, NJ 07023-1219

Phone

(215) 350-9520

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Priya R Patel, DMDNPI 1932757473

Title

General Dentist

Phone

(215) 350-9520

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Priya R Patel, DMD

  • General Practice Dentistry
  • Fanwood, NJ
  • NPI 1932757473
  NPD Authorized official
• Tanvi Patel

  • General Practice Dentistry
  • Fanwood, NJ
  • NPI 1487143541
  NPD (past)

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1316710205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SOUTH AVE STE 103",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231219",
            "telephone_number": "908-490-6614",
            "fax_number": "908-615-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SOUTH AVE STE 103",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231219",
            "telephone_number": "215-350-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SANCTUARY OF FANWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "215-350-9520",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Costa, M.A. BCBA
• Laura Jane Crawford, AU.D.
• Maria L Cunniffe
• Lauren Daniels
• Michele Demarest, M.S. CCC-SLP
• Laura M Diaz, MD
• Kendra Dickerson
• Dipaolo Physical Therapy PC
• Thomas Vincent Dipaolo, DPT
• Alison Dmochowski

• Dental Clinic/Center in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.