S Dental Clinic LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02480100 Issued in NJ

Legal business name

S DENTAL CLINIC LLC

Practice address

2044 Center Ave Ste 2
Fort Lee, NJ 07024-4930

Phone

(201) 242-9700

NPI assigned

Jan 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Justin I ChungNPI 1467701599

Title

Dentist

Phone

(201) 242-9700

Specialties & licenses 1

Addresses

Practitioners 1

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

• Justin I Chung, D.D.S

  • Dentist
  • Fort Lee, NJ
  • NPI 1467701599
  NPD (past) Authorized official

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452902400000",
    "number": "1437516853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE STE 2",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-242-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 CENTER AVE STE 2",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244930",
            "telephone_number": "201-242-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-242-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02480100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul H Rosenberg, M.D.
• Rhonda Betsy Rosenberg, M.D.
• Howard C Rothman, M.D.
• Royal Plaza Drug LLC
• Alison Russo, LAC
• S Dental Institute
• S R E Physical Therapy Professional Association
• S W Baik M D P a
• S. B. & R. D. Ponamgi MD PA
• Pilar Sabater, MD

• Dentist in Fort Lee, NJ
• Providers in Fort Lee, 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 16, 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.