Blairstown Smile Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLAIRSTOWN SMILE STUDIO

Doing business as

Blairstown Smile Studio

Practice address

807 NJ Route 94
Blairstown, NJ 07825-1202

Phone

(908) 362-7008

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By 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

Jane Yeh

Title

Co-Owner

Phone

(908) 362-7008

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Blairstown Smile Studio Doing business as

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1508580051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 NJ ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078251202",
            "telephone_number": "908-362-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 NJ ROUTE 94",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078251202",
            "telephone_number": "908-362-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIRSTOWN SMILE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-362-7008"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WON HEE TAK",
            "identifier": "1295812287",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRICILLA JUNG",
            "identifier": "1114594025",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINA FARAG",
            "identifier": "1245873934",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blairstown Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Altieri
• Melissa S Anderson, PHARM.D., R.PH.
• Alissandra Auletta
• Blairstown Chiropractic Center LLC
• Blairstown Elementary School
• Babette Bolcato
• Branch Out With ABA
• Brett Goldsmith DDS PC
• Gerald Bsales
• Dana Caulkins, RN, IBCLC

• Dental Clinic/Center in Blairstown, NJ
• Providers in Blairstown, 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 Sep 28, 2022; 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.