The Tooth Dr Limited Liability Company

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE TOOTH DR LIMITED LIABILITY COMPANY

Practice address

47 Kensington Ave
Jersey City, NJ 07304-2009

Phone

(201) 434-1200

Fax

(201) 434-1223

NPI assigned

Jan 12, 2012

Last updated

Apr 11, 2012By 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. Medhat Dawoud

Title

Owner

Phone

(201) 401-6594

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1467722058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 KENSINGTON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042009",
            "telephone_number": "201-434-1200",
            "fax_number": "201-434-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 KENSINGTON AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042009",
            "telephone_number": "201-434-1200",
            "fax_number": "201-434-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH DR LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "DAWOUD",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-401-6594",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.