Premier Dentistry of Morris

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER DENTISTRY OF MORRIS

Practice address

143 Lakeside Blvd
Landing, NJ 07850-1123

Phone

(973) 398-7171

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Kiernan, DMD

Title

Owner

Phone

(973) 398-7171

Specialties & licenses 1

Addresses

Other names 1

• Premier Dentistry of Morris Former legal business name

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1841766490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LAKESIDE BLVD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501123",
            "telephone_number": "973-398-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LAKESIDE BLVD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501123",
            "telephone_number": "973-398-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTISTRY OF MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "KIERNAN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-398-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dentistry of Morris",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Landing, NJ
• Providers in Landing, 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 Oct 22, 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.