Organization Active NPI

Dental Center of Montgomery, LLC

  • General Practice Dentistry
  • Skillman, NJ
National Provider Identifier
1366535981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DO13182 Issued in NJ
Legal business name
DENTAL CENTER OF MONTGOMERY, LLC
Practice address
15 Tamarack Circle
Skillman, NJ 08558
Phone
(609) 921-1020
Fax
(609) 921-2769
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard C. Navin, D.M.D.NPI 1417958950
Title
Member
Phone
(609) 921-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DO13182 NJ Primary

Addresses

Primary practice location

15 Tamarack Circle
Skillman, NJ 08558

Mailing address

15 Tamarack Circle
Skillman, NJ 08558
Phone (609) 921-1020

National Provider Directory

National Provider Directory

Locations

15 Tamarack Cir
Skillman, NJ 08558
Phone (609) 921-1020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366535981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TAMARACK CIRCLE",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "08558",
            "telephone_number": "609-921-1020",
            "fax_number": "609-921-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TAMARACK CIRCLE",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "08558",
            "telephone_number": "609-921-1020",
            "fax_number": "609-921-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF MONTGOMERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAVIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-921-1020",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DO13182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • 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.