Novasack Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI00995300 Issued in NJ

Legal business name

NOVASACK FAMILY DENTAL LLC

Practice address

560 Shore Rd
Somers Point, NJ 08244-2447

Phone

(609) 927-5454

Fax

(609) 927-6369

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. George Novasack, DMDNPI 1871645903

Title

President

Phone

(609) 927-5454

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• George Frank Novasack, DMD

  • Dentist
  • Samers Point, NJ
  • NPI 1871645903
  NPD (past) Authorized official
• Mark Novasack, DMD

  • Dentist
  • Somers Point, NJ
  • NPI 1962885855
  NPD (past)

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1548636400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442447",
            "telephone_number": "609-927-5454",
            "fax_number": "609-927-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442447",
            "telephone_number": "609-927-5454",
            "fax_number": "609-927-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVASACK FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "NOVASACK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00995300",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02608500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thu Oanh Thi Nguyen, PHARMD
• Northeast Behavioral Servcies, Inc
• Northeast Behavioral Services, Inc
• Patricia Norton, CRNA
• John R Nosti, D.M.D., F.A.GD.
• Mark Novasack, DMD
• Milton A Noveck, D.M.D.
• Nunn Home Health Care Service, LLC
• Nutrition With Kie
• Amy O'Connell, LMT

• General Practice Dentistry in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.