Organization Active NPI

Tender Smiles of Old Bridge PA

  • Dentist
  • Old Bridge, NJ
National Provider Identifier
1851264014
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TENDER SMILES OF OLD BRIDGE PA
Practice address
3333 Route 9 N
Old Bridge, NJ 08857-2691
Phone
(732) 249-1010
Fax
(732) 220-0177
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Maxim Sulla, DDSNPI 1720007776
Title
Owner
Phone
(732) 249-1010

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3333 Route 9 N
Old Bridge, NJ 08857-2691

Mailing address

1330 How LN
North Brunswick, NJ 08902-1702
Phone (732) 249-1010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1851264014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 HOW LN",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021702",
            "telephone_number": "732-249-1010",
            "fax_number": "732-220-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 ROUTE 9 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-249-1010",
            "fax_number": "732-220-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER SMILES OF OLD BRIDGE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "SULLA",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-249-1010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.