Acorn Pediatric Dental, LLC.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ACORN PEDIATRIC DENTAL, LLC.

Practice address

1161 Route 35
Middletown, NJ 07748-2605

Phone

(732) 852-9200

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Tonilynn Egan

Title

Credentialing Coordinator

Phone

(732) 852-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1841918539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482605",
            "telephone_number": "732-852-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN PEDIATRIC DENTAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "TONILYNN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "732-852-9200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Better U
• Samantha Danielle Abbott, APN-C
• Abilities in Action
• Staci Joy Addessi, D.C.
• Adeleye Adeyemi Adeyeye
• Esther Zino Agbaza
• Prashasti Agrawal, MD
• Annela Ahmedani, RN

• Pediatric Dentistry in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.