The Dental Difference LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02229600 Issued in NJ

Legal business name

THE DENTAL DIFFERENCE LLC

Practice address

419 Nassau St
Brick, NJ 08723-5025

Phone

(732) 785-0002

Fax

(732) 785-2887

NPI assigned

Mar 9, 2015

Last updated

Jun 1, 2021By 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

Dr. Kevin J Mosmen, DMD, MSNPI 1477685683

Title

Owner

Phone

(732) 785-0002

Specialties & licenses 1

Addresses

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.

• Kevin Mosmen, DMD,MS

  • Dentist
  • Brick, NJ
  • NPI 1477685683
  NPD Authorized official

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1710370242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ROUTE 88",
            "address_2": "SUITE 201",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243018",
            "telephone_number": "173-278-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 NASSAU ST",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235025",
            "telephone_number": "732-785-0002",
            "fax_number": "732-785-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL DIFFERENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MOSMEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-785-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02229600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.