Ag Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AG DENTAL

Doing business as

Heritage Dental

Practice address

5 E Jimmie Leeds Rd
Galloway, NJ 08205-9705

Phone

(609) 646-3890

Fax

(609) 646-5151

NPI assigned

Jun 16, 2022

Last updated

Nov 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arsen Gazaryan, DMDNPI 1497121651

Title

Owner/General Dentist

Phone

(609) 646-3890

Specialties & licenses 1

Addresses

Other names 1

• Heritage Dental Doing business as

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.

• Arsen Gazaryan, DMD

  • Dentist
  • Galloway, NJ
  • NPI 1497121651
  Authorized official Same address or phone

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1639809106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059705",
            "telephone_number": "609-646-3890",
            "fax_number": "609-646-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059705",
            "telephone_number": "609-646-3890",
            "fax_number": "609-646-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "GAZARYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "609-646-3890",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Absecon Medical Associates LLC
• Erica Adams, MS, RD
• Addiction Treatment Services International
• Olabimpe Adeyeni
• Advocare, LLC (Advocare Mainland Pediatric Associates)
• Airx Medical Sleep Supply, LLC (AIRX Medical Sleep Supply)
• Rajasree Ajay, M.D.
• Alan J Feldman MD LLC
• Anna Alexander, LMFT
• Marcelo Pantaleon Alfaro Jr.

• Dental Clinic/Center in Galloway, NJ
• Providers in Galloway, 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 Nov 2, 2024; 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.