Lakewood Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKEWOOD DENTAL ASSOCIATES, LLC

Practice address

838 River Ave Ste 1
Lakewood, NJ 08701-5279

Phone

(732) 363-4477

Fax

(732) 905-7085

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Douglas Greenfield

Title

Compliance Officer

Phone

(215) 422-3647

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Premium Dentistry

  • Dentist
  • Lakewood, NJ
  • NPI 1528557063
  NPPES parent name

Practitioners 2

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

• Jonathan A Glatt, DMD

  • Dentist
  • Lakewood, NJ
  • NPI 1518041920
  NPD (past)
• Shimon Goldstein, DMD

  • Dentist
  • Lakewood, NJ
  • NPI 1508606328
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1760025894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 RIVER AVE STE 1",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015279",
            "telephone_number": "732-363-4477",
            "fax_number": "732-905-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 RIVER AVE STE 1",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015279",
            "telephone_number": "732-363-4477",
            "fax_number": "732-905-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "215-422-3647"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakewood Community Services Corp.
• Lakewood Counseling Services LLC
• Lakewood Dialysis Services, LLC
• Lakewood Family and Cosmetic Dental Care, PC
• Lakewood Family Dental
• Lakewood First Aid & Emergency Squad Inc.
• Lakewood Foot and Ankle Specialist, LLC

• Dentist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.