Organization Active NPI

Upper Montclair Dental Associates

  • General Practice Dentistry
  • Upper Montclair, NJ
National Provider Identifier
1801992136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17676 Issued in NJ
Legal business name
UPPER MONTCLAIR DENTAL ASSOCIATES
Practice address
223 Lorraine Ave
Upper Montclair, NJ 07043-1948
Phone
(973) 746-6056
NPI assigned
Sep 15, 2006
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. Stephen David PressNPI 1619978376
Title
Dentist
Phone
(973) 746-6506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17676 NJ Primary

Addresses

Primary practice location

223 Lorraine Ave
Upper Montclair, NJ 07043-1948

Mailing address

223 Lorraine Ave
Upper Montclair, NJ 07043-1948
Phone (973) 746-6056

National Provider Directory

National Provider Directory

Locations

223 Lorraine Ave
Upper Montclair, NJ 07043
Phone (973) 746-6056

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801992136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 LORRAINE AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431948",
            "telephone_number": "973-746-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 LORRAINE AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431948",
            "telephone_number": "973-746-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MONTCLAIR DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-746-6506",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, 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.