Active NPI
Smilepartnerz, PA
- General Practice Dentistry
- Wayne, NJ
National Provider Identifier
1639533375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DI1867000
- Legal business name
- SMILEPARTNERZ, PA
- Practice address
- 330 Ratzer Road
Suite 23
Wayne, NJ 07470 - Phone
- (973) 694-5101
- Fax
- (973) 305-1355
- NPI assigned
- Apr 8, 2016
- Last updated
- Apr 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Dicicco, DMD
- Title
- President
- Phone
- (973) 694-5101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI1867000 | NJ | Primary |
Addresses
Primary practice location
330 Ratzer Road
Suite 23
Wayne, NJ 07470
Mailing address
330 Ratzer Road
Suite 23
Wayne, NJ 07470
Phone (973) 694-5101
National Provider Directory
National Provider DirectoryLocations
330 Ratzer Rd
Ste 23
Wayne, NJ 07470
Phone (973) 694-5101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460073600000",
"number": "1639533375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 RATZER ROAD",
"address_2": "SUITE 23",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-694-5101",
"fax_number": "973-305-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 RATZER ROAD",
"address_2": "SUITE 23",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-694-5101",
"fax_number": "973-305-1355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILEPARTNERZ, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A",
"authorized_official_last_name": "DICICCO",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-694-5101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI1867000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.