NPIMap

Organization Active NPI

In-House Dental Services

  • Assisted Living Facility
  • Jackson, NJ
National Provider Identifier
1740505908
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
DI19441 Issued in NJ
Legal business name
IN-HOUSE DENTAL SERVICES
Practice address
975 Bennetts Mills Rd
Jackson, NJ 08527-2225
Phone
(732) 363-1411
Fax
(732) 363-1401
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Theresa Dantonio, DDSNPI 1447395793
Title
Dentist/Owner
Phone
(732) 363-1411

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X DI19441 NJ Primary
Assisted Living Facility 310400000X DI02081701 NJ

Addresses

Primary practice location

975 Bennetts Mills Rd
Jackson, NJ 08527-2225

Mailing address

24 Leone Blvd
Jackson, NJ 08527
Phone (732) 363-1411

Other identifiers 2

IdentifierTypeStateIssuer
0047899MedicaidNJ
0047911MedicaidNJ

National Provider Directory

National Provider Directory

Locations

975 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 363-1411

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": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1740505908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEONE BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-363-1411",
            "fax_number": "732-363-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272225",
            "telephone_number": "732-363-1411",
            "fax_number": "732-363-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOUSE DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "DANTONIO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-363-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "DI19441",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "DI02081701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047899",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047911",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.