Bright Smile a Visiting Dental Service of NJ LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHT SMILE A VISITING DENTAL SERVICE OF NJ LLC

Practice address

1999 Cedar Bridge Ave
Ste 3D
Lakewood, NJ 08701

Phone

(201) 670-0097

Fax

(201) 445-0225

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Brandon Statfeld

Title

Ceo

Phone

(201) 670-0097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visiting Dental Associates Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rinat Roth, DDS

  • General Practice Dentistry
  • Glen Rock, NJ
  • NPI 1295956696
  NPD (past)
• Judy Sapir Schmutter, D.D.S.

  • Dentist
  • Glen Rock, NJ
  • NPI 1689890352
  NPD (past)
• David Glenn Schoenberg, D.D.S.

  • General Practice Dentistry
  • Glen Rock, NJ
  • NPI 1134241581
  NPD (past)
• Russell Zaat, D.D.S

  • Dentist
  • Glen Rock, NJ
  • NPI 1033492657
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1730587783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDAR BRIDGE AVE",
            "address_2": "STE 3D",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "201-670-0097",
            "fax_number": "201-445-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 CEDAR BRIDGE AVE",
            "address_2": "STE 3D",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "201-670-0097",
            "fax_number": "201-445-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILE A VISITING DENTAL SERVICE OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "STATFELD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-670-0097"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448354",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridged Connections ABA LLC
• Esther Brieger, OTR/L
• Bright Builders ABA LLC
• Bright Future Services LLC
• Bright Light ABA LLC
• Bright Star Therapy LLC
• Brighter Care ABA LLC
• Brightmark ABA LLC
• Binyamin Kalman Brill, DDS
• Tihela Briller

• General Practice Dentistry in Lakewood, NJ
• Providers in Lakewood, 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 Nov 8, 2022; 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.