Organization Active NPI

Milford Family Dentistry, LLC

  • General Practice Dentistry
  • Milford, NJ
National Provider Identifier
1790889061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01856400 Issued in NJ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.