Garden State Smiles of North Brunswick

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI021211 Issued in NJ

Legal business name

GARDEN STATE SMILES OF NORTH BRUNSWICK

Practice address

1612 Route 27
North Brunswick, NJ 08902-1451

Phone

(732) 846-6767

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By 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

Dr. Vlad Detinich, DMDNPI 1801004684

Title

President

Phone

(732) 322-9297

Specialties & licenses 1

Addresses

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.

• Vlad Detinich, DMD

  • General Practice Dentistry
  • North Brunswick, NJ
  • NPI 1801004684
  Authorized official Same address or phone

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1558720698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 ROUTE 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021451",
            "telephone_number": "732-846-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 ROUTE 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021451",
            "telephone_number": "732-846-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE SMILES OF NORTH BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "DETINICH",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-322-9297",
        "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": "DI021211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T. Furlong Jr., LPC
• Marc A Gaballa
• Sangeeta Gajera-Algoo, MD
• Galloping Hill Surgical, LLC (Allcare Medical)
• Shirley G Garcia Silva, NP
• Rashidah Nicole Garrett-Hall, APN
• Genomic Prediction Clinical Laboratory, Inc.
• GH&D Enterprises LLC (G&D Employment Services)
• Hemadavie Ghooray
• Donna Gilchrist, LCSW

• General Practice Dentistry in North Brunswick, NJ
• Providers in North Brunswick, 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 Feb 17, 2016; 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.