Premier Dental of New Jersey, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21002 Issued in NJ

Legal business name

PREMIER DENTAL OF NEW JERSEY, P.C.

Doing business as

Vitruvian Dental Arts

Practice address

577 Chestnut Ridge Rd
First Floor
Woodcliff Lake, NJ 07677-8409

Phone

(201) 746-6003

Fax

(201) 746-6005

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Hongsok Hwang, DDS

Title

Co-President

Phone

(201) 746-6003

Specialties & licenses 1

Addresses

Other names 1

• Vitruvian Dental Arts Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1699806547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "address_2": "FIRST FLOOR",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-746-6003",
            "fax_number": "201-746-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "address_2": "FIRST FLOOR",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-746-6003",
            "fax_number": "201-746-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "HONGSOK",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "201-746-6003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitruvian Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.