NPIMap

Organization Active NPI

Brighter Dental Care (Freehold)

  • Dentist
  • Freehold, NJ
National Provider Identifier
1609382977
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRIGHTER DENTAL CARE (FREEHOLD)
Practice address
321A W Main St
Freehold, NJ 07728-2517
Phone
(732) 761-8800
NPI assigned
Dec 21, 2017
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Amanda Mucciariello
Title
Admin. Asst.
Phone
(732) 750-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

321A W Main St
Freehold, NJ 07728-2517

Mailing address

1030 Saint Georges Ave
Avenel, NJ 07001-1390

National Provider Directory

National Provider Directory
Tax ID family
Old Bridge Dental Arts28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

321A W Main St
Freehold, NJ 07728
Phone (732) 761-8800

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": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1609382977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321A W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282517",
            "telephone_number": "732-761-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DENTAL CARE (FREEHOLD)",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "MUCCIARIELLO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMIN. ASST.",
        "authorized_official_telephone_number": "732-750-0707"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.