Authentic Smiles Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AUTHENTIC SMILES FAMILY DENTAL

Practice address

777 Blackwood Clementon Rd
Lindenwold, NJ 08021-5966

Phone

(267) 307-4834

NPI assigned

Dec 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Omar, DMD

Title

Dentist

Phone

(267) 307-4834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544227200000",
    "number": "1831660422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MINUTEMAN LN",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080854234",
            "telephone_number": "267-307-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLACKWOOD CLEMENTON RD",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080215966",
            "telephone_number": "267-307-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC SMILES FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-08",
        "last_updated": "2018-12-08",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "267-307-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.