Infinity Dental Wellness LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

INFINITY DENTAL WELLNESS LLC

Practice address

327 Bridge PLZ N
Fort Lee, NJ 07024-5051

Phone

(201) 429-0097

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Jonathan OdinskyNPI 1326504564

Title

DDS

Phone

(516) 509-0360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jonathan Odinsky

  • General Practice Dentistry
  • Fort Lee, NJ
  • NPI 1326504564
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1760244479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MORGAN ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213515",
            "telephone_number": "516-509-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BRIDGE PLZ N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245051",
            "telephone_number": "201-429-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY DENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "ODINSKY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "516-509-0360"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.