Roundup Pediatric Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROUNDUP PEDIATRIC DENTISTRY LLC

Practice address

2300 Wrangleboro Rd Ste 740
Mays Landing, NJ 08330-4419

Phone

(609) 829-3101

Fax

(609) 828-3104

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. William Desonne, DMDNPI 1386175149

Title

Owner

Phone

(973) 632-5081

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.

• William Christian Bertram Desonne

  • Pediatric Dentistry
  • Deptford, NJ
  • NPI 1386175149
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1730960550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WITHERSPOON CT",
            "city": "MONROEVILLE",
            "state": "NJ",
            "postal_code": "083432537",
            "telephone_number": "973-632-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WRANGLEBORO RD STE 740",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304419",
            "telephone_number": "609-829-3101",
            "fax_number": "609-828-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDUP PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "DESONNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-632-5081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Elizabeth Ritter, DVM
• Felicia Rivera, RN, APN
• Hilda R. Rivera, LSW
• Renee A Rodio, PT
• Joseph M Rohr, PHARM.D.
• Sally Saad
• Safe Space Services LLC
• Adiba Saleem
• Sanders & Sanders
• Bryan Sanders

• Dental Clinic/Center in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.