Robert Kreutz DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01398400 Issued in NJ

Legal business name

ROBERT KREUTZ DDS LLC

Practice address

2046 W County Line Rd
Suite 1
Jackson, NJ 08527-2014

Phone

(732) 905-9932

Fax

(732) 905-7289

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Thomas Kreutz, DDS

Title

Dentist/Owner

Phone

(732) 905-9932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1689823601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 W COUNTY LINE RD",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272014",
            "telephone_number": "732-905-9932",
            "fax_number": "732-905-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 W COUNTY LINE RD",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272014",
            "telephone_number": "732-905-9932",
            "fax_number": "732-905-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KREUTZ DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KREUTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-905-9932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01398400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.