Active NPI
Skolnick Dental Associates Spec LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Elizabeth, NJ
National Provider Identifier
1497235030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SKOLNICK DENTAL ASSOCIATES SPEC LLC
- Doing business as
- Childsmiles
- Practice address
- 65 Jefferson Ave
Elizabeth, NJ 07201-2474 - Phone
- (908) 469-9100
- NPI assigned
- Aug 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Ethan Skolnick
- Title
- Owner
- Phone
- (908) 469-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Mailing address
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Phone (908) 469-9100
Other names 1
- Childsmiles
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534204800000",
"number": "1497235030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 JEFFERSON AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012474",
"telephone_number": "908-469-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JEFFERSON AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012474",
"telephone_number": "908-469-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKOLNICK DENTAL ASSOCIATES SPEC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A",
"authorized_official_last_name": "SKOLNICK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ETHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-469-9100"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Childsmiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.