Brilliant Smiles Dental Group - Pine Hill LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DI02244000 Issued in NJ

Legal business name

BRILLIANT SMILES DENTAL GROUP - PINE HILL LLC

Practice address

610 Blackwood Clementon Rd Ste E
Pine Hill, NJ 08021-5213

Phone

(856) 346-0700

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Michelle Aitken, DDS

Title

Owner

Phone

(856) 346-0700

Specialties & licenses 1

Addresses

Other names 1

• Hometown Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1710274477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BLACKWOOD CLEMENTON RD STE E",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080215213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BLACKWOOD CLEMENTON RD STE E",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080215213",
            "telephone_number": "856-346-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES DENTAL GROUP - PINE HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-346-0700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02244000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Pine Hill, NJ
• Providers in Pine Hill, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.