Grove Street Care Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18656 Issued in NJ

Legal business name

GROVE STREET CARE DENTAL INC.

Practice address

129 Grove St
Montclair, NJ 07042-4049

Phone

(973) 746-0922

Fax

(973) 746-5230

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Lopez, D.M.D.

Title

President

Phone

(973) 746-0922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1376719450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424049",
            "telephone_number": "973-746-0922",
            "fax_number": "973-746-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424049",
            "telephone_number": "973-746-0922",
            "fax_number": "973-746-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE STREET CARE DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-746-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Grochmal, M.D.
• Elizabeth Groisser, PSYD
• Grove Family Dental
• Grove Family Dental Inc
• Grove Pharmacy Limited Liability Company
• Growth Street ABA
• Basya Gruber, LSW
• Giuliana M Guarino, PT/DPT
• Rajitha R. Gujja, MD
• Courtney Gulliksen

• General Practice Dentistry in Montclair, NJ
• Providers in Montclair, 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 May 7, 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.