Silver Ridge Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02074800 Issued in NJ

Legal business name

SILVER RIDGE DENTAL, PC

Practice address

569 Lakehurst Rd
Toms River, NJ 08755-8045

Phone

(732) 914-0500

Fax

(732) 914-8788

NPI assigned

Nov 12, 2008

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Davis C Thomas, BDS, DDS

Title

President of the P.C.

Phone

(732) 914-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1356595797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558045",
            "telephone_number": "732-914-0500",
            "fax_number": "732-914-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558045",
            "telephone_number": "732-914-0500",
            "fax_number": "732-914-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER RIDGE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OF THE P.C.",
        "authorized_official_telephone_number": "732-914-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02074800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Toms River, NJ
• Providers in Toms River, 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 12, 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.