Montville Center for Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MONTVILLE CENTER FOR DENTISTRY LLC

Practice address

150 River Rd Ste D2
Montville, NJ 07045-9441

Phone

(973) 334-4114

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brian Marino, DMDNPI 1366507022

Title

Owner Dentist/President

Phone

(973) 334-4114

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Brian Matthew Marino, D.M.D

  • General Practice Dentistry
  • Pompton Plains, NJ
  • NPI 1366507022
  NPD Authorized official
• James D. Walter, DMD

  • General Practice Dentistry
  • Montville, NJ
  • NPI 1689687063
  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1609456474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER RD STE D2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-334-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD STE D2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-334-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE CENTER FOR DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "973-334-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele J. Dimaira, D.M.D., M.S. PA
• Mira Vie at Montville Opco LLC
• Muznah Mirza, MS, RD
• MLT Medical LLC
• David Modrak, PHD
• Montville Chiropractic
• Montville Dental Studio LLC
• Montville Dermatology and Laser Center
• Montville Endodontics, LLC
• Montville Family Practice Associates, PA

• Dental Clinic/Center in Montville, NJ
• Providers in Montville, 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 Apr 14, 2021; 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.