Organization Active NPI

Smile Works Dental Center PA.

  • Dentist
  • Holmdel, NJ
National Provider Identifier
1487188686
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DJO19480 Issued in NJ
Legal business name
SMILE WORKS DENTAL CENTER PA.
Practice address
101 Crawford Corner Road in Bellworks Building
Suite 1109
Holmdel, NJ 07733
Phone
(732) 332-1500
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Andrew S Whiteman, DDS
Title
Owner
Phone
(732) 673-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DJO19480 NJ Primary

Addresses

Primary practice location

101 Crawford Corner Road in Bellworks Building
Suite 1109
Holmdel, NJ 07733

Mailing address

2515 Hwy 516 2ND Floor
Old Bridge, NJ 08857
Phone (732) 332-1500

Other names 1

  • Smile Works Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

101 Crawfords Corner Rd
Ste 1109
Holmdel, NJ 07733
Phone (732) 332-1500

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1487188686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HWY 516 2ND FLOOR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-332-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CRAWFORD CORNER ROAD IN BELLWORKS BUILDING",
            "address_2": "SUITE 1109",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-332-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WORKS DENTAL CENTER PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "WHITEMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-673-6634",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DJO19480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Works Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.