Lyndhurst Dental Medicine, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DI17675 Issued in NJ

Legal business name

LYNDHURST DENTAL MEDICINE, LLC

Practice address

464 Valley Brook Ave
Lyndhurst, NJ 07071-1998

Phone

(201) 933-9092

Fax

(201) 933-6690

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ross Lesser, DMD

Title

Owner

Phone

(201) 933-9092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841406782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711998",
            "telephone_number": "201-933-9092",
            "fax_number": "201-933-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711998",
            "telephone_number": "201-933-9092",
            "fax_number": "201-933-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDHURST DENTAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESSER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-933-9092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI17675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Logan, LAC
• Matthew Lopes
• Roland Jerzy Losos, MD
• Lyndhurst Audiology Associates. LLC
• Lyndhurst Board of Education
• Lyndhurst Family Dental Associates, PC
• Lyndhurst Health Department
• Lyndhurst Pediatric Dentistry, LLC
• Lyndhurst Podiatry, P.C.
• M&C Medical Ventures, LLC

• Dentist in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.