NPIMap

Organization Active NPI

Dayton Dental Associates, LLC

  • Dentist
  • Dayton, NJ
National Provider Identifier
1396101333
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DIO1469400 Issued in NJ
Legal business name
DAYTON DENTAL ASSOCIATES, LLC
Practice address
338 Georges Rd
Dayton, NJ 08810-1546
Phone
(732) 329-3113
Fax
(732) 329-2889
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Louis Anthony D'Angelo, DMD
Title
Ceo
Phone
(215) 816-5408

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DIO1469400 NJ Primary
Dental Hygienist 124Q00000X 22HI0046500 NJ

Addresses

Primary practice location

338 Georges Rd
Dayton, NJ 08810-1546

Mailing address

338 Georges Rd
Dayton, NJ 08810-1546
Phone (732) 329-3113

Other names 1

  • Doctors of Dental Medicine Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1396101333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 GEORGES RD",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101546",
            "telephone_number": "732-329-3113",
            "fax_number": "732-329-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 GEORGES RD",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101546",
            "telephone_number": "732-329-3113",
            "fax_number": "732-329-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-816-5408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO1469400",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "22HI0046500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors of Dental Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dayton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.