Organization Active NPI

Real Smile Dental Inc.

  • Dental Clinic/Center
  • Cliffside Park, NJ
National Provider Identifier
1740452408
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI 018252 Issued in NJ
Legal business name
REAL SMILE DENTAL INC.
Practice address
543 Gorge Rd
Cliffside Park, NJ 07010-2210
Phone
(201) 941-8877
Fax
(201) 941-7722
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Leonid Rubinov, D.D.S.NPI 1861483513
Title
President
Phone
(201) 941-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DI 018252 NJ Primary

Addresses

Primary practice location

543 Gorge Rd
Cliffside Park, NJ 07010-2210

Mailing address

543 Gorge Rd
Cliffside Park, NJ 07010-2210
Phone (201) 941-8877

National Provider Directory

National Provider Directory

Locations

543 Gorge Rd
Cliffside Park, NJ 07010
Phone (201) 941-8877

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1740452408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 GORGE RD",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102210",
            "telephone_number": "201-941-8877",
            "fax_number": "201-941-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 GORGE RD",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102210",
            "telephone_number": "201-941-8877",
            "fax_number": "201-941-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL SMILE DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "RUBINOV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-941-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI 018252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.