Love Your Smile Dental Center LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02515600 Issued in NJ

Legal business name

LOVE YOUR SMILE DENTAL CENTER LLC

Doing business as

Love Your Smile Dental Center

Practice address

1529 Route 206
Unit D
Tabernacle, NJ 08088

Phone

(609) 801-2486

Fax

(609) 801-2565

NPI assigned

Oct 26, 2017

Last updated

Oct 26, 2017By 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

Richard J. Weber, DMDNPI 1972851772

Title

Owner

Phone

(609) 801-2486

Specialties & licenses 1

Addresses

Other names 1

• Love Your Smile Dental Center Doing business as

Locations

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.

• Richard J Weber, DMD

  • General Practice Dentistry
  • Summit, NJ
  • NPI 1972851772
  NPD (past) Authorized official

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1699287912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 ROUTE 206",
            "address_2": "UNIT D",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "08088",
            "telephone_number": "609-801-2486",
            "fax_number": "609-801-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 ROUTE 206",
            "address_2": "UNIT D",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "08088",
            "telephone_number": "609-801-2486",
            "fax_number": "609-801-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE YOUR SMILE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-801-2486",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02515600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Your Smile Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Ann Jedryk, D.C.
• Yoleidy Tatiana Johnstone, DMD
• Samantha Kohl
• Aimee Kompel, MRCVS
• Amy Lepsis, MS, CCC-SLP
• Thomas Edward McCann, M.D.
• Tami Meale
• Alexandra Minnich, LCADC
• Megan Moorhouse, COTA
• New Jersey CVS Pharmacy LLC (CVS Pharmacy #00003)

• Dentist in Tabernacle, NJ
• Providers in Tabernacle, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.