Lawrenceville Dental Implant Center and Periodontics, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22D102381800 Issued in NJ

Legal business name

LAWRENCEVILLE DENTAL IMPLANT CENTER AND PERIODONTICS, LLC

Practice address

133 Franklin Corner Rd
Lawrenceville, NJ 08648-2531

Phone

(609) 896-0700

Fax

(609) 896-1418

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raul H Figueroa, DMD

Title

Dentist

Phone

(609) 896-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1639441900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-896-0700",
            "fax_number": "609-896-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-896-0700",
            "fax_number": "609-896-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE DENTAL IMPLANT CENTER AND PERIODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "609-896-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22D102381800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Operator, LLC
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• Lawrenceville Dental Associates, LLC
• Lawrenceville Dermatology Associates, P.C.
• Lawrenceville Eye Care LLC
• Lawrenceville Foot and Ankle Specialists LLC
• Lawrenceville Internal Medicine Assoc, LLC
• Lawrenceville Neurology Center, P.a.

• All providers in Lawrenceville, NJ
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.