Active NPI
Milford Family Dentistry, LLC
- General Practice Dentistry
- Milford, NJ
National Provider Identifier
1790889061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI01856400
- Legal business name
- MILFORD FAMILY DENTISTRY, LLC
- Practice address
- 802 Milford Warren Glen Rd
Milford, NJ 08848-1648 - Phone
- (908) 995-4535
- Fax
- (908) 689-0979
- NPI assigned
- Sep 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Thomas Riesenberg, DMD
- Title
- Managing Member
- Phone
- (908) 995-4535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI01856400 | NJ | Primary |
Addresses
Primary practice location
802 Milford Warren Glen Rd
Milford, NJ 08848-1648
Mailing address
802 Milford Warren Glen Rd
Milford, NJ 08848-1648
Phone (908) 995-4535
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790889061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 MILFORD WARREN GLEN RD",
"city": "MILFORD",
"state": "NJ",
"postal_code": "088481648",
"telephone_number": "908-995-4535",
"fax_number": "908-689-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 MILFORD WARREN GLEN RD",
"city": "MILFORD",
"state": "NJ",
"postal_code": "088481648",
"telephone_number": "908-995-4535",
"fax_number": "908-689-0979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILFORD FAMILY DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIESENBERG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "908-995-4535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI01856400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, NJ
Sources for this page
- 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.