Garden State Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI21035 Issued in NJ

Legal business name

GARDEN STATE DENTAL GROUP LLC

Practice address

1 Hook Mountain Dr
Annandale, NJ 08801-2003

Phone

(908) 638-4991

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Karns, DMD

Title

Owner

Phone

(908) 638-4991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1780865428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOOK MOUNTAIN DR",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088012003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOOK MOUNTAIN DR",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088012003",
            "telephone_number": "908-638-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "KARNS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-638-4991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI21035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.