Harrison Familt Dentist PA

Primary specialty

DentistTaxonomy code 122300000X

License

22DIO2002700 Issued in NJ

Legal business name

HARRISON FAMILT DENTIST PA

Practice address

300 Harrison Ave
Harrison, NJ 07029

Phone

(973) 241-5900

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By 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. Forouzan Ghaffari, DMD

Title

Owner

Phone

(973) 769-4897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1366708752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "07029",
            "telephone_number": "973-241-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "07029",
            "telephone_number": "973-241-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON FAMILT DENTIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "GHAFFARI",
        "authorized_official_first_name": "FOROUZAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-769-4897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO2002700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Hall
• Christine Hanna
• Aneesah J Hardy
• Harrison Board of Education
• Harrison Endo Surgical Center LLC
• Harrison Medical Group LLC
• Harrison Pediatric Care Center, P.a.
• Harrison Spine & Rehabilitation Center, LLC
• Haveron Total Health, PA
• Henry J. Ryngel, MD, PC

• Dentist in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.