Organization Active NPI

All Smiles Dental Group Inc

  • Dentist
  • Williamstown, NJ
National Provider Identifier
1811319445
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02473000 Issued in NJ
Legal business name
ALL SMILES DENTAL GROUP INC
Practice address
420 N Black Horse Pike
Williamstown, NJ 08094-1439
Phone
(856) 740-1416
Fax
(856) 740-2513
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Nermeen Rifai, DMD
Title
Owner/Dentist
Phone
(856) 740-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02473000 NJ Primary

Addresses

Primary practice location

420 N Black Horse Pike
Williamstown, NJ 08094-1439

Mailing address

420 N Black Horse Pike
Williamstown, NJ 08094-1439
Phone (856) 740-1416

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XMedicaidNJ

National Provider Directory

National Provider Directory

Locations

420 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 740-1416

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1811319445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941439",
            "telephone_number": "856-740-1416",
            "fax_number": "856-740-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941439",
            "telephone_number": "856-740-1416",
            "fax_number": "856-740-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "NERMEEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "856-740-1416",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02473000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223G0001X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.