Ac Dental of Old Bridge, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02214300 Issued in NJ

Legal business name

AC DENTAL OF OLD BRIDGE, LLC

Practice address

1447 Route 18
Old Bridge, NJ 08857-3797

Phone

(732) 727-0895

NPI assigned

Jun 5, 2013

Last updated

Jun 5, 2013By 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

Chandan Ahuja

Title

Dentist/Owner

Phone

(732) 254-1994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1689012239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573797",
            "telephone_number": "732-727-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC DENTAL OF OLD BRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "CHANDAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-254-1994"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02214300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Old Bridge, NJ
• Providers in Old Bridge, 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 Jun 5, 2013; 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.