Premier Family Dentistry LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

PREMIER FAMILY DENTISTRY LLC

Practice address

194 Broad St
Bloomfield, NJ 07003-4394

Phone

(973) 250-6400

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Mohannad Abboushi, DDSNPI 1689350837

Title

Owner Dentist

Phone

(973) 879-8761

Specialties & licenses 1

Addresses

Other names 1

• Premier Family Dentistry Doing business as

Practitioners 1

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

• Mohannad Abboushi, DDS

  • Dentist
  • Bloomfield, NJ
  • NPI 1689350837

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1750119293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034394",
            "telephone_number": "973-250-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034394",
            "telephone_number": "973-250-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "ABBOUSHI",
        "authorized_official_first_name": "MOHANNAD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "973-879-8761",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana L Pozzoli, P.T.
• Sabasree Pradhan
• Pranay Bhatt MD LLC
• Precise Medical Services, LLC
• Precision Care LLC
• Premier OB/GYN LLC
• Premium Medical Agency LLC
• Primary Care First LLC
• Primary Care Partners, LLC
• Primary Care Partners, LLC

• Public Health Dentistry in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Public Health Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.