East Brunswick Dental Studio, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DI19669 Issued in NJ

Legal business name

EAST BRUNSWICK DENTAL STUDIO, LLC

Practice address

573 Cranbury Rd
Suite a-1
East Brunswick, NJ 08816-4026

Phone

(732) 613-1931

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Genevieve M Fernandes, B.D.S., D.D.S.NPI 1609912898

Title

Dentist

Phone

(732) 613-1931

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Genevieve Fernandes, B.D.S., D.D.S.

  • General Practice Dentistry
  • East Brunswick, NJ
  • NPI 1609912898
  NPD (past) Authorized official
• Manleen Kaur, DDS

  • General Practice Dentistry
  • Highland Park, NJ
  • NPI 1326702044
  NPD (past)
• Mitchell Judah Siegelman, DDS

  • Dentist
  • East Brunswick, NJ
  • NPI 1467138974
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1841319209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CRANBURY RD",
            "address_2": "SUITE A-1",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164026",
            "telephone_number": "732-613-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 CRANBURY RD",
            "address_2": "SUITE A-1",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164026",
            "telephone_number": "732-613-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK DENTAL STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-613-1931",
        "authorized_official_credential": "B.D.S., D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI19669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Duke, MD
• Ashley Veronica Dwyer, MA, LAC, NCC
• Steven Ira Dyckman, MD
• East Brunswick Anesthesia Associates
• East Brunswick Dental & Specialty Group, LLC
• East Brunswick Endoscopy Center Inc
• East Brunswick Eye Center LLC
• East Brunswick Family and Implant Dentistry
• East Brunswick Family Practice Associates PA
• East Brunswick Foot and Ankle Center LLC

• Dentist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.