Clifton Dental Spa LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CLIFTON DENTAL SPA LLC

Practice address

1240 Main Ave Ste 2
Clifton, NJ 07011-2262

Phone

(973) 473-0900

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Luis E Martinez

Title

Director of Revenue Cycle

Phone

(732) 801-9176

Specialties & licenses 1

Addresses

Other names 1

• Nuva Smile Doing business as

Locations

Practitioners 3

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

• Alma Dema, D.M.D.

  • Dentist
  • Clifton, NJ
  • NPI 1477251296
  NPD
• Sumi Kim, DMD

  • Dentist
  • Clifton, NJ
  • NPI 1982442729
  NPD
• Sandra Pachon, DDS

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1922125137
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1780445163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MAIN AVE STE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112262",
            "telephone_number": "973-473-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MAIN AVE STE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112262",
            "telephone_number": "973-473-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON DENTAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "732-801-9176"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuva Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifton Adult Opportunity Center
• Clifton Adult Opportunity Center
• Clifton Board of Education
• Clifton Burt Pain Physician, P.C.
• Clifton Dental Arts, PA
• Clifton Dialysis Center LLC
• Clifton Drugs LLC
• Clifton Drugs LLC
• Clifton Endodontics
• Clifton Eye Care LLC

• Dental Clinic/Center in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.