NPIMap

Organization Active NPI

Orange Dental Group

  • General Practice Dentistry
  • East Orange, NJ
National Provider Identifier
1497909220
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23653 Issued in NJ
Legal business name
ORANGE DENTAL GROUP
Practice address
85 S Harrison St
Suite 103
East Orange, NJ 07018-1700
Phone
(973) 676-5310
Fax
(973) 676-5350
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Salvatore Pavone, DMD
Title
President
Phone
(973) 676-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23653 NJ Primary

Addresses

Primary practice location

85 S Harrison St
Suite 103
East Orange, NJ 07018-1700

Mailing address

85 S Harrison St
Suite 103
East Orange, NJ 07018-1700
Phone (973) 676-5310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1497909220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S HARRISON ST",
            "address_2": "SUITE 103",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181700",
            "telephone_number": "973-676-5310",
            "fax_number": "973-676-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S HARRISON ST",
            "address_2": "SUITE 103",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181700",
            "telephone_number": "973-676-5310",
            "fax_number": "973-676-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "PAVONE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-676-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "23653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.