Organization Active NPI

Smilepartnerz, PA

  • General Practice Dentistry
  • Wayne, NJ
National Provider Identifier
1639533375
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI1867000 Issued in NJ
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.