A-One Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21313 Issued in NJ

Legal business name

A-ONE DENTAL LLC

Doing business as

Crestwood Family Dental

Practice address

70 Lacey Rd
Whiting, NJ 08759-2931

Phone

(732) 350-7999

Fax

(732) 350-7961

NPI assigned

Jan 10, 2011

Last updated

Jan 10, 2011By 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. Sundeep C Johal, DDS

Title

President

Phone

(732) 713-4768

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CRESTWOOD FAMILY DENTAL Doing business as

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1730483496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PLEASANT VALLEY RD",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514438",
            "telephone_number": "732-887-8734",
            "fax_number": "732-834-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592931",
            "telephone_number": "732-350-7999",
            "fax_number": "732-350-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-ONE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHAL",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-713-4768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021547",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESTWOOD FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Whiting, NJ
• Providers in Whiting, 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 Jan 10, 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.