Organization Active NPI

My Teeth Professional Corporation

  • Dental Clinic/Center
  • Manalapan, NJ
National Provider Identifier
1497694806
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MY TEETH PROFESSIONAL CORPORATION
Practice address
430 Bridge Plaza Dr
Manalapan, NJ 07726-1735
Phone
(732) 786-3486
NPI assigned
Mar 28, 2026
Last updated
Mar 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Dr. George Likakis, DDSNPI 1811173958
Title
President
Phone
(732) 685-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

430 Bridge Plaza Dr
Manalapan, NJ 07726-1735

Mailing address

430 Bridge Plaza Dr
Manalapan, NJ 07726-1735
Phone (732) 786-3486

National Provider Directory

National Provider Directory

Locations

430 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 617-0830

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1497694806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261735",
            "telephone_number": "732-786-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BRIDGE PLAZA DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261735",
            "telephone_number": "732-786-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TEETH PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A",
        "authorized_official_last_name": "LIKAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-685-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.