Senior Care Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SENIOR CARE DENTAL

Practice address

345 Passaic Ave
1St FL
Lodi, NJ 07644

Phone

(973) 446-0620

Fax

(973) 446-0620

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Annette Santiago

Title

Supervisor Biller

Phone

(973) 446-0620

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Arthur Greyf, DDS

  • Dentist
  • Lodi, NJ
  • NPI 1598837015
  NPD (past)
• Dmitry Kucher, DDS

  • Dentist
  • Lodi, NJ
  • NPI 1285706606
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356413777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 HOME PLACE",
            "address_2": "1ST FL",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "07644",
            "telephone_number": "973-446-0620",
            "fax_number": "973-446-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PASSAIC AVE",
            "address_2": "1ST FL",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "07644",
            "telephone_number": "973-446-0620",
            "fax_number": "973-446-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "SUPERVISOR BILLER",
        "authorized_official_telephone_number": "973-446-0620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014931",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Laureana Santiago
• Alberto Sarmiento
• Savia Community Counseling Services, LLC
• Savia Community Counseling Services, LLC
• Scott a. Goler, DPM, PC (Braodway Foot Center)
• Serenity Diagnostic (Serenity Mobile Diagnostics LLC)
• Jacqueline Gomes Sgherza, RDN, MBA
• Andleeb Shabahat, DDS
• Erina Jinhee Shim
• Robert A Siconolfi, D.C.

• Dentist in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Dentist 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.