Active NPI
Squire Dental Management LLC
- Dental Clinic/Center
- North Brunswick, NJ
National Provider Identifier
1366076820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SQUIRE DENTAL MANAGEMENT LLC
- Practice address
- 1612 Route 27
North Brunswick, NJ 08902-1451 - Phone
- (862) 400-3223
- Fax
- (732) 812-3188
- NPI assigned
- Feb 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Marc Schwartz
- Title
- Coo
- Phone
- (862) 400-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1612 Route 27
North Brunswick, NJ 08902-1451
Mailing address
1612 Route 27
North Brunswick, NJ 08902-1451
Phone (862) 400-3223
National Provider Directory
National Provider DirectoryLocations
1612 Route 27
North Brunswick, NJ 08902
Phone (732) 846-6767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582502400000",
"number": "1366076820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 ROUTE 27",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021451",
"telephone_number": "862-400-3223",
"fax_number": "732-812-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 ROUTE 27",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021451",
"telephone_number": "862-400-3223",
"fax_number": "732-812-3188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SQUIRE DENTAL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "862-400-3223"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
- South Bunswick Board of Education
- Sovereign Care Services
- Specialty Surgical Center of North Brunswick, LLC
- Speech Language and Swallowing Center
- Matthew Jay Speesler, M.D.
- Bhagya Lakshmi Thankan Sreerenjini
- Stavroula Moshos, P.C.
- Helene L. Steinhauer, LCSW
- Edward A Steinman, M.D.
- Nadine Deborah Stephenson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.