Serenity Smile Designs, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI22906 Issued in NJ

Legal business name

SERENITY SMILE DESIGNS, LLC

Practice address

4095 English Creek Ave
Egg Harbor Township, NJ 08234-5742

Phone

(609) 646-1989

Fax

(609) 646-0052

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By 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

Jenny Hernandez

Title

Team Lead

Phone

(609) 646-1989

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Mendelsohn, DMD

  • Dentist
  • Pleasantville, NJ
  • NPI 1548306236
  NPD
• Amina Linn, DMD

  • Dentist
  • Egg Harbor Township, NJ
  • NPI 1770217630
  NPD (past)
• Alexa Previti, DMD

  • Dentist
  • Egg Harbor Township, NJ
  • NPI 1124401492
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1790290146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 ENGLISH CREEK AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345742",
            "telephone_number": "609-646-1989",
            "fax_number": "609-646-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 ENGLISH CREEK AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345742",
            "telephone_number": "609-646-1989",
            "fax_number": "609-646-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SMILE DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "TEAM LEAD",
        "authorized_official_telephone_number": "609-646-1989"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI22906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanesha Janeen Seddens
• Nathaniel Kevyonne Seldon
• Kerry Sellars
• Karen Semet
• Keith Semler, DO
• Stephanie Sergeant, MS
• Samir Ashok Shah, DMD, MS
• Taral Jobanputra Shah, M.D.
• Sanjay Shetty
• Erin Shober

• General Practice Dentistry in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, 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 Dec 7, 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.