Encore Dental of Lacey

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ENCORE DENTAL OF LACEY

Practice address

335 North Main St.
Unit # 4
Lanoka Harbor, NJ 08734

Phone

(609) 549-6925

Fax

(609) 549-6931

NPI assigned

Aug 1, 2012

Last updated

Aug 1, 2012By 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

Christopher Emma, D.M.D

Title

Owner/General Dentist

Phone

(609) 549-6925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1720334345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NORTH MAIN ST.",
            "address_2": "UNIT # 4",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "08734",
            "telephone_number": "609-549-6925",
            "fax_number": "609-549-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NORTH MAIN ST.",
            "address_2": "UNIT # 4",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "08734",
            "telephone_number": "609-549-6925",
            "fax_number": "609-549-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE DENTAL OF LACEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "EMMA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "609-549-6925",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lanoka Harbor, NJ
• Providers in Lanoka Harbor, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.