Great Smiles of New Jersey LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREAT SMILES OF NEW JERSEY LLC

Practice address

10 Shawnee Dr
Suite A5
Watchung, NJ 07069-5803

Phone

(908) 561-0225

Fax

(908) 561-0343

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Sabater-Weddle, DDSNPI 1063581700

Title

Owner and Manager

Phone

(908) 561-0225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Sabater-Weddle, DDS

  • Dentist
  • Watchung, NJ
  • NPI 1063581700
  NPD Authorized official
• Karla Veramie Censon

  • Dentist
  • Watchung, NJ
  • NPI 1699588319
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1477622140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR",
            "address_2": "SUITE A5",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-561-0225",
            "fax_number": "908-561-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR",
            "address_2": "SUITE A5",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-561-0225",
            "fax_number": "908-561-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "SABATER-WEDDLE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "908-561-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilona Giordano, LPC
• Todd Givens, D.C
• Kathi Goldmann, LPC
• Nan C Gottesmann, PT
• Jean S Gray
• Gurjai Woodbridge LLC
• Paul Mansfield Hadley, O.D.
• Andrea Hall, LAC
• Yoona Han, LCSW
• Ivana Nicole Haros, OD

• General Practice Dentistry in Watchung, NJ
• Providers in Watchung, 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 Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.