Organization Active NPI

Harbor Dental Associates LLC

  • General Practice Dentistry
  • Old Bridge, NJ
National Provider Identifier
1639947641
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARBOR DENTAL ASSOCIATES LLC
Practice address
2433 Route 516
Ste C
Old Bridge, NJ 08857
Phone
(732) 525-2656
Fax
(732) 525-1187
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Ms. Stephanie Trottnow, DMD
Title
Dentist/Owner
Phone
(732) 525-2656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2433 Route 516
Ste C
Old Bridge, NJ 08857

Mailing address

2433 Route 516
Ste C
Old Bridge, NJ 08857
Phone (732) 525-2656

National Provider Directory

National Provider Directory

Locations

2433 Route 516
Ste C
Old Bridge, NJ 08857
Phone (732) 525-2656

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1639947641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 ROUTE 516",
            "address_2": "STE C",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-525-2656",
            "fax_number": "732-525-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 ROUTE 516",
            "address_2": "STE C",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-525-2656",
            "fax_number": "732-525-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "TROTTNOW",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-525-2656",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.