Gallery of Smiles, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02297400 Issued in NJ

Legal business name

GALLERY OF SMILES, LLC

Practice address

220 Ridgedale Ave
Suite B1
Florham Park, NJ 07932-1348

Phone

(973) 295-6600

Fax

(973) 295-6601

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeannette Glass-Brudzinski, D.M.D.NPI 1013136712

Title

Dentist

Phone

(917) 957-4638

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.

• Jeannette G Glass-Brudzinski, D.M.D

  • General Practice Dentistry
  • Florham Park, NJ
  • NPI 1013136712
  NPD (past) Authorized official

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1740415231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIDGEDALE AVE",
            "address_2": "SUITE B1",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321348",
            "telephone_number": "973-295-6600",
            "fax_number": "973-295-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RIDGEDALE AVE",
            "address_2": "SUITE B1",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321348",
            "telephone_number": "973-295-6600",
            "fax_number": "973-295-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY OF SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "GLASS-BRUDZINSKI",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-957-4638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02297400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Ogbazion Gabre, M.D.
• Lilibeth Dy Gaerlan, P.T.
• Lorin Gaffen, MA, LPC, LCADC
• Isaac Galandauer, M.D.
• Gallery of Little Smiles, LLC
• Alyssa Gallipani, PHARMD, BCACP
• Dominick Louis Gamarro, PT, DPT
• Suryaprakash Ganti, M.D.
• Carlos Antonio Garay, M.D.
• Ginx Ivelisse Garcia, PA-C

• Dental Clinic/Center in Florham Park, NJ
• Providers in Florham Park, 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 Jun 10, 2009; 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.