Advanced Digital Dentist LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI01407600 Issued in NJ

Legal business name

ADVANCED DIGITAL DENTIST LLC

Practice address

79 W High St
Somerville, NJ 08876-2114

Phone

(908) 725-7640

NPI assigned

Nov 8, 2016

Last updated

Nov 8, 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. Lizabeth Sloane, D.M.D.NPI 1194983536

Title

Sole Member

Phone

(908) 725-7640

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.

• Lizabeth Sloane, D.M.D.

  • General Practice Dentistry
  • Somerville, NJ
  • NPI 1194983536
  NPD (past) Authorized official

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1487196481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762114",
            "telephone_number": "908-725-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762114",
            "telephone_number": "908-725-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIGITAL DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "SLOANE",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "908-725-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI01407600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Somerville, NJ
• Providers in Somerville, 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 Nov 8, 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.