Organization Active NPI

Guttenberg Dental Care PC

  • Dentist
  • Guttenberg, NJ
National Provider Identifier
1356507495
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20288 Issued in NJ
Legal business name
GUTTENBERG DENTAL CARE PC
Practice address
6915 Park Ave
Guttenberg, NJ 07093
Phone
(201) 868-0808
Fax
(201) 868-0898
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
David Lac, DDS
Title
Owner Dentist
Phone
(201) 868-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20288 NJ Primary

Addresses

Primary practice location

6915 Park Ave
Guttenberg, NJ 07093

Mailing address

6915 Park Ave
Guttenberg, NJ 07093
Phone (201) 868-0808

National Provider Directory

National Provider Directory

Locations

6915 Park Ave
Guttenberg, NJ 07093
Phone (201) 868-0808

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1356507495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 PARK AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-868-0808",
            "fax_number": "201-868-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 PARK AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-868-0808",
            "fax_number": "201-868-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTTENBERG DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "LAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "201-868-0808",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "20288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.