Organization Active NPI

M&a Dental LLC

  • General Practice Dentistry
  • Eatontown, NJ
National Provider Identifier
1740968494
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
M&A DENTAL LLC
Practice address
286 NJ-35 S
Eatontown, NJ 07724
Phone
(732) 542-7770
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Mariya Medlenov, DDSNPI 1477950731
Title
Co-Owner
Phone
(267) 288-3355

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

286 NJ-35 S
Eatontown, NJ 07724

Mailing address

241 Washington Ave
Pine Beach, NJ 08741-1544
Phone (732) 341-6010

Other names 1

  • Seaview Dental Doing business as

National Provider Directory

National Provider Directory

Locations

286 Highway 35
Eatontown, NJ 07724
Phone (732) 542-7770

Practitioners & affiliated clinicians

Practitioners 1

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": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1740968494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WASHINGTON AVE",
            "city": "PINE BEACH",
            "state": "NJ",
            "postal_code": "087411544",
            "telephone_number": "732-341-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 NJ-35 S",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-542-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&A DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MEDLENOV",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "267-288-3355",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.