Ecladent Dental Studio LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ECLADENT DENTAL STUDIO LLC

Practice address

139 South St Ste 104
New Providence, NJ 07974-1999

Phone

(917) 856-9529

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Irina Fainvets, DMDNPI 1215675194

Title

Owner

Phone

(917) 856-9529

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Irina Fainvets, DMD

  • Dentist
  • New Providence, NJ
  • NPI 1215675194
  NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1841037025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W WESTFIELD AVE APT 438",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042069",
            "telephone_number": "917-856-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SOUTH ST STE 104",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741999",
            "telephone_number": "917-856-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLADENT DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "FAINVETS",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-856-9529",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Wellness Solutions
• Julie Dziedzic-Carroll, LCSW
• Kelly Jean Eberhardt, MD
• Alexandra Josephine Eberle, OTR
• Suzanne Eberle, OT
• Rachael Ekenezar, LPC
• Alana Brooke Eliwatt
• John Erickson, M.D.
• Felisha Estes
• Irina Fainvets, DMD

• General Practice Dentistry in New Providence, NJ
• Providers in New Providence, 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 Jul 13, 2024; 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.