Bridgewater Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI020751 Issued in NJ

Legal business name

BRIDGEWATER FAMILY DENTAL

Practice address

676 Route 202/206
Bridgewater, NJ 08807-1761

Phone

(908) 722-6666

Fax

(908) 722-6667

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marwan Bassil Bassil, D.M.D.

Title

Owner

Phone

(908) 722-6666

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1710240858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071761",
            "telephone_number": "908-722-6666",
            "fax_number": "908-722-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 ROUTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071761",
            "telephone_number": "908-722-6666",
            "fax_number": "908-722-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "BASSIL",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_middle_name": "BASSIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-722-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22 DI 02249700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI020751",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22 DI 02312200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Brawley
• Alexis J Brewer, PA-C
• Bridgewater Ambulatory Surgery Center, LLC
• Bridgewater Assisted Living Venture, LLC
• Bridgewater Dental Associates, PC
• Bridgewater Internal Medicine
• Bridgewater Medical Group
• Bridgewater Medical Group PA
• Bridgewater Opco, LLC
• Bridgewater Optometric Center

• General Practice Dentistry in Bridgewater, NJ
• Providers in Bridgewater, 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 Jul 30, 2015; 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.