NJ Dental & Surgical Group, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DIO2268100 Issued in NJ

Legal business name

NJ DENTAL & SURGICAL GROUP, LLC

Practice address

25 Kilmer Dr Ste 216
Morganville, NJ 07751-1561

Phone

(732) 536-8100

Fax

(732) 536-8104

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Heather Smith-Briggs, DDS

Title

Owner

Phone

(609) 712-1010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1356798458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR STE 216",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511561",
            "telephone_number": "732-536-8100",
            "fax_number": "732-536-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR STE 216",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511561",
            "telephone_number": "732-536-8100",
            "fax_number": "732-536-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ DENTAL & SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "SMITH-BRIGGS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-712-1010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DIO2268100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.