Dental Cosmetic Center of North Brunswick PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL COSMETIC CENTER OF NORTH BRUNSWICK PC

Practice address

1648 Route 130 North
Suite #5
North Brunswick, NJ 08902

Phone

(732) 821-8183

Fax

(732) 510-5235

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By 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

Mamta Shah, DDS

Title

Dentist Owner

Phone

(848) 702-0872

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1679044846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ROUTE 130 NORTH",
            "address_2": "SUITE #5",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-821-8183",
            "fax_number": "732-510-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ROUTE 130 NORTH",
            "address_2": "SUITE #5",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-821-8183",
            "fax_number": "732-510-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL COSMETIC CENTER OF NORTH BRUNSWICK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "848-702-0872",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Community Supports, Inc.
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• Rebecca Susan Denlow, O.D.
• Alyssa Dennis
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• Dental Health Associates PA
• Stephanie Derosena
• Claude S Desauguste, PA
• Emily Desotelle
• Vlad Detinich, DMD

• Dentist in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.