Northfield Family Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01139300 Issued in NJ

Legal business name

NORTHFIELD FAMILY DENTAL GROUP

Practice address

1423 Tilton Rd
Ste 2
Northfield, NJ 08225

Phone

(609) 646-9100

Fax

(609) 646-3016

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth L Jagger, DDSNPI 1295947810

Title

Dentist Owner

Phone

(609) 646-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth L Jagger, D.D.S.

  • General Practice Dentistry
  • Northfield, NJ
  • NPI 1295947810
  NPD (past) Authorized official
• Richard S Birnbaum, DMD

  • Pediatric Dentistry
  • Northfield, NJ
  • NPI 1386857159
  NPD (past)
• Barbara A Guenther, DMD

  • General Practice Dentistry
  • Northfield, NJ
  • NPI 1619180429
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386845154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD",
            "address_2": "SUITE 2",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "08225",
            "telephone_number": "609-646-9100",
            "fax_number": "609-646-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD",
            "address_2": "STE 2",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "08225",
            "telephone_number": "609-646-9100",
            "fax_number": "609-646-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAGGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "609-646-9100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01139300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obinna Nnadi
• Adebola Nnewihe, MD
• Charles O Nnewihe, M.D.
• Northfield Board of Education
• Northfield ENT Associates LLC
• Northfield Rescue Squad Inc.
• Northfield Spine and Injury Center PC
• Sandhya Nuthalapati
• Daniel O'Donnell Jr., D.C.
• Oak Tree Pediatrics

• All providers in Northfield, NJ
• Dentist in New Jersey

• 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.