Lafayette Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02561500 Issued in NJ

Legal business name

LAFAYETTE DENTAL, PC

Practice address

50 Route 15
Lafayette, NJ 07848

Phone

(908) 367-3283

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By 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

Dr. Katrina Mila G Verendia, DMD

Title

Director

Phone

(908) 367-3283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1457807745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MORAN AVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085423855",
            "telephone_number": "908-367-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "908-367-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "VERENDIA",
        "authorized_official_first_name": "KATRINA MILA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-367-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02561500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inhealth PA (InHealth Associates)
• Marie M. Jackson, D.M.D.
• Sydney Joice-Casey
• Ashley Kobylarz
• Maria Krause, APN
• Maura Lazzara, CCC-SLP, PC
• Tamara Leah Lipshie, M.D.
• Heather McBeth, LCSW
• Tiera Inez McCullough, CALA, CMA, CNA
• Shauna Menzella, DPT

• General Practice Dentistry in Lafayette, NJ
• Providers in Lafayette, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.