Active NPI
Children's Dental Group PC
- Pediatric Dentistry
- Eatontown, NJ
National Provider Identifier
1457560252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CHILDREN'S DENTAL GROUP PC
- Practice address
- 288 State Route 35 S
Eatontown, NJ 07724-2105 - Phone
- (732) 389-2422
- Fax
- (732) 389-8815
- NPI assigned
- May 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David E. Tarrab, DDS
- Title
- President
- Phone
- (732) 389-2422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NJ | Primary |
Addresses
Primary practice location
288 State Route 35 S
Eatontown, NJ 07724-2105
Mailing address
288 State Route 35 S
Eatontown, NJ 07724-2105
Phone (732) 389-2422
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Dentistry
- Eatontown, NJ
- NPI 1164802575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457560252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 STATE ROUTE 35 S",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242105",
"telephone_number": "732-389-2422",
"fax_number": "732-389-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 STATE ROUTE 35 S",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242105",
"telephone_number": "732-389-2422",
"fax_number": "732-389-8815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S DENTAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TARRAB",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-389-2422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.