Oak Ridge Family Dental Lakeside LLC

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

02327602 Issued in NJ

Legal business name

OAK RIDGE FAMILY DENTAL LAKESIDE LLC

Practice address

174 Edison Rd
Lake Hopatcong, NJ 07849-2217

Phone

(973) 663-1174

Fax

(973) 663-9138

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Chris Merwin, DDS

Title

Owner

Phone

(973) 663-1174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1336596857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 EDISON RD",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492217",
            "telephone_number": "973-663-1174",
            "fax_number": "973-663-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 EDISON RD",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492217",
            "telephone_number": "973-663-1174",
            "fax_number": "973-663-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE FAMILY DENTAL LAKESIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MERWIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-663-1174",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Therapist",
            "state": "NJ",
            "license": "02327602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel M. Moskowitz, D.M.D.
• Gerard G Nahum, MD
• New Jersey Association for Community Integration
• New Jersey Association for Community Integration
• Maila Egama Nunez, PT
• Odyssey Psychotherapy LCSW LLC
• Sarah Olsen
• Enrico F Orlandoni, D.O.
• Erica Jordan Paladini, PA-C
• Marisa Rose Paolella, PA

• Dental Therapist in Lake Hopatcong, NJ
• Providers in Lake Hopatcong, NJ by specialty
• Dental Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.