Dental Arts 4 Tots 2 Teens LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

220DI02349200 Issued in NJ

Legal business name

DENTAL ARTS 4 TOTS 2 TEENS LLC

Doing business as

Point Pleasant Dentistry for Children

Practice address

3824 River Rd
Point Pleasant Boro, NJ 08742-2054

Phone

(732) 202-7114

Fax

(732) 202-7191

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By 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. Diane Baldwin, D.M.DNPI 1376742619

Title

Owner

Phone

(732) 202-7114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Point Pleasant Dentistry for Children Doing business as

Tax ID family

Dental Arts 4 Tots 2 Teens LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Arts 4 Tots 2 Teens LLC

  dba Point Pleasant Dentistry for Children

  • Dental Clinic/Center
  • Point Pleasant Boro, NJ
  • NPI 1659724920
  NPD tax ID

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.

• Diane Baldwin, D.M.D

  • Pediatric Dentistry
  • Summerville, SC
  • NPI 1376742619
  Authorized official Same address or phone

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1710439666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422054",
            "telephone_number": "732-202-7114",
            "fax_number": "732-202-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422054",
            "telephone_number": "732-202-7114",
            "fax_number": "732-202-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS 4 TOTS 2 TEENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-202-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "220DI02349200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170216",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Point Pleasant Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DDM Creations LLC
• Kathryn Deane-Greeley, LCSW
• Debra a. Blair,R.D., C.D.E., LLC
• Kelly Delledonne, LCSW
• Dental Arts 4 Tots 2 Teens LLC (Point Pleasant Dentistry for Children)
• Colleen Ann Deritis, MA, OTR/L, ACE CPT
• Maureen M Desantis, LCSW
• Nicole Ditchkus, OTR
• Catello Divuolo, RPH
• Suzanne Hoagland Doctor, PTA

• Pediatric Dentistry in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.