Pennington Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

23707 Issued in NJ

Legal business name

PENNINGTON DENTAL CARE LLC

Practice address

2425 Pennington Rd
Pennington, NJ 08534-5228

Phone

(718) 915-3713

Fax

(866) 894-5881

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yatin Khanna, DDS

Title

Member

Phone

(718) 915-3713

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1386910040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "718-915-3713",
            "fax_number": "866-894-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "718-915-3713",
            "fax_number": "866-894-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "YATIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-915-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "23707",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "21759",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "23509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennington Adult Living Services
• Pennington Apothecary LLC
• Pennington Apothecary LLC
• Pennington Dental Arts, L.L.C.
• Pennington Dental Associates LLC
• Pennington Family Chiropractic, LLC
• Pennington Family Dentistry LLC
• Pennington Family Wellness LLC
• Pennington Orthodontics & Pediatric Dentistry, LLC
• Pennington Transformational Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.