Canal Vista Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02466900 Issued in NJ

Legal business name

CANAL VISTA FAMILY DENTAL, LLC

Practice address

100 Canal Pointe Blvd
Suite 116
Princeton, NJ 08540-7063

Phone

(609) 452-8630

Fax

(609) 452-1688

NPI assigned

Mar 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nesrine BestandjiNPI 1265731020

Title

Member

Phone

(908) 400-2954

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nesrine Bestandji, D.M.D.

  • Dentist
  • Princeton, NJ
  • NPI 1265731020
  NPD (past) Authorized official
• John T. Rotondi, D.M.D.

  • General Practice Dentistry
  • Princeton, NJ
  • NPI 1821213182
  NPD (past)

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490486400000",
    "number": "1780115220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANAL POINTE BLVD",
            "address_2": "SUITE 116",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407063",
            "telephone_number": "609-452-8630",
            "fax_number": "609-452-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANAL POINTE BLVD",
            "address_2": "SUITE 116",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407063",
            "telephone_number": "609-452-8630",
            "fax_number": "609-452-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAL VISTA FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A",
        "authorized_official_last_name": "BESTANDJI",
        "authorized_official_first_name": "NESRINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-400-2954",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02466900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie C Campbell, R.N., L.P.C.
• David B. Campbell, PH.D.
• Hilary Campbell, MD
• Martha Ann Campbell, M.D.
• Rebecca L Campbell
• Margaret Cangelosi, PSY.D.
• Nita Lavet Cannon
• Jacquelyn Cantor, RN,CSW
• Jeanne Dawn Cantrell, PH.D.
• Lisa Canzano, LCSW

• General Practice Dentistry in Princeton, NJ
• Providers in Princeton, 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 Mar 26, 2017; 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.