South Hudson Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14451N Issued in NJ

Legal business name

SOUTH HUDSON DENTAL GROUP LLC

Practice address

919 Broadway
Bayonne, NJ 07002-3051

Phone

(201) 858-2218

NPI assigned

Jul 1, 2008

Last updated

Jul 1, 2008By 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. Tripinder Dhaliwal, DMDNPI 1396838678

Title

Partner

Phone

(201) 858-2218

Specialties & licenses 1

Addresses

Locations

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.

• Tripinder Dhaliwal, DMD

  • General Practice Dentistry
  • Bayonne, NJ
  • NPI 1396838678
  NPD (past) Authorized official

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1467614313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-858-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023051",
            "telephone_number": "201-858-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HUDSON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "TRIPINDER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-858-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14451N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Soss
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• Adam Sourour
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• General Practice Dentistry in Bayonne, NJ
• Providers in Bayonne, 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 Jul 1, 2008; 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.