Bella Dental of Holmdell, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BELLA DENTAL OF HOLMDELL, LLC

Practice address

668 N Beers St Ste 203
Holmdel, NJ 07733-1511

Phone

(732) 614-5576

NPI assigned

Jan 9, 2019

Last updated

Jan 9, 2019By 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

Aleksandr I Shor, DMD

Title

Owner

Phone

(732) 614-5576

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1396218640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 307",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236080",
            "telephone_number": "732-477-1335",
            "fax_number": "732-920-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N BEERS ST STE 203",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331511",
            "telephone_number": "732-614-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA DENTAL OF HOLMDELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SHOR",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-614-5576",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.