Edison Dental P.a

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02347800 Issued in NJ

Legal business name

EDISON DENTAL P.A

Practice address

1907 Oak Tree Rd
Suite#204
Edison, NJ 08820-2070

Phone

(732) 662-9313

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Amish Patel, DMD

Title

Owner

Phone

(732) 662-9313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1437684701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "address_2": "SUITE#204",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "address_2": "SUITE#204",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-662-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON DENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-662-9313",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02347800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edison Family Practice

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.