Dental Group of Westfield PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D100755500 Issued in NJ

Legal business name

DENTAL GROUP OF WESTFIELD PA

Practice address

120 St Paul Street
Westfield, NJ 07090

Phone

(908) 232-6672

Fax

(908) 232-3998

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Wiley Jr., DDS FAGD

Title

Ceo

Phone

(908) 232-6672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790864908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ST PAUL STREET",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "07090",
            "telephone_number": "908-232-6672",
            "fax_number": "908-232-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ST PAUL STREET",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "07090",
            "telephone_number": "908-232-6672",
            "fax_number": "908-232-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF WESTFIELD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-232-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D100755500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Delos Santos, MS
• Demaio-Rutner Oral & Maxillofacial Surgery Associates. LLC
• Christopher L Demasi, DO
• Richard T. Demott, MA,LPC,LCADC
• Laura A Denner, RPH
• Jennifer Deoliveira
• Caitlin Maria Depaulo
• Joseph Derosa, M.D.
• David Allen Dersh, DMD
• Lisa Devries, LPC

• General Practice Dentistry in Westfield, NJ
• Providers in Westfield, 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 Aug 22, 2020; 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.