Braces @ Middletown, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI00812500 Issued in NJ

Legal business name

BRACES @ MIDDLETOWN, PC

Practice address

2 Apple Farm Rd
Red Bank, NJ 07701-5091

Phone

(732) 671-6621

Fax

(732) 671-2166

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George Dierna, DDS

Title

President

Phone

(732) 671-6621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1780944108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 APPLE FARM RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015094",
            "telephone_number": "732-671-6621",
            "fax_number": "732-671-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 APPLE FARM RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015091",
            "telephone_number": "732-671-6621",
            "fax_number": "732-671-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES @ MIDDLETOWN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "DIERNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-671-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI00812500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Borzio
• Joann Camella Bowell
• William J Boyce-Blanchard
• Brian Joseph Boyle, D.O.
• Jennifer A Bozarth, LCSW
• Bradley & Shields Therapy Assoc.
• Alfred A. Bradley, PA-C
• Carolyn Ann Bradley, MSW, PHD, LCSW
• Wayne R Braendle, MD
• Lisa Marie Brandefine

• Orthodontics and Dentofacial Orthopedics Dentistry in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.