Grand Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI021495 Issued in NJ

Legal business name

GRAND DENTAL, PC

Practice address

106 Grand Ave
3Rd Floor
Englewood, NJ 07631-3574

Phone

(201) 816-8696

Fax

(201) 816-9552

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo A Garces, D.M.D

Title

Owner

Phone

(201) 816-8696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1821159302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-816-8696",
            "fax_number": "201-816-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-816-8696",
            "fax_number": "201-816-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "GARCES",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-816-8696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI021495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Gorloff, MD
• Alexandra H Gottdiener, MD
• Graceful Mind Counseling Services, LLC
• Jennifer Graf, LCSW
• Livia Granata-Sakellaris, M.D.
• Grand OB-GYN PA
• Grand Orthopaedic Associates LLC
• Grand Professional Weight Control
• Kaydean Grant, APN
• Tanya Gray

• General Practice Dentistry in Englewood, NJ
• Providers in Englewood, 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 May 1, 2008; 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.