Organization Active NPI

Love Your Smile Family & Aesthetic Dentistry

  • Dentist
  • West Deptford, NJ
National Provider Identifier
1841652781
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102504700 Issued in NJ
Legal business name
LOVE YOUR SMILE FAMILY & AESTHETIC DENTISTRY
Practice address
196 Grove Ave
Suite F
West Deptford, NJ 08086
Phone
(856) 345-9490
Fax
(856) 579-7863
NPI assigned
Mar 21, 2016
Last updated
Mar 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Dr. Beverly Jaiswal, DMDNPI 1386991735
Title
Owner
Phone
(856) 345-9490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102504700 NJ Primary

Addresses

Primary practice location

196 Grove Ave
Suite F
West Deptford, NJ 08086

Mailing address

196 Grove Ave
Suite F
West Deptford, NJ 08086
Phone (856) 345-9490

National Provider Directory

National Provider Directory

Locations

196 Grove Ave
Ste F
West Deptford, NJ 08086
Phone (856) 345-9490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1841652781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 GROVE AVE",
            "address_2": "SUITE F",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-345-9490",
            "fax_number": "856-579-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 GROVE AVE",
            "address_2": "SUITE F",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-345-9490",
            "fax_number": "856-579-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE YOUR SMILE FAMILY & AESTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "JAISWAL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-345-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102504700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.