The Smile Stop LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02591600 Issued in NJ

Legal business name

THE SMILE STOP LLC

Practice address

139A Kinderkamack Rd
Park Ridge, NJ 07656-1334

Phone

(201) 739-4088

Fax

(201) 739-4088

NPI assigned

Jul 31, 2017

Last updated

Nov 21, 2017By 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. Mrunal Parmar, DDSNPI 1174960942

Title

Owner

Phone

(201) 739-4088

Specialties & licenses 2

Addresses

Locations

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.

• Mrunal H Parmar, DDS

  • Pediatric Dentistry
  • Park Ridge, NJ
  • NPI 1174960942
  NPD Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1851815021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139A KINDERKAMACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139A KINDERKAMACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561334",
            "telephone_number": "201-739-4088",
            "fax_number": "201-739-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE STOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "MRUNAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-739-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02591600",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02591600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Soran, M.S., CCC-SLP
• Hayley Rose Soranno
• Jaime Stine, M.S., BCBA
• Deirdre Tallman, OTR/L
• Tara B Nelsen, SLP, PC
• Nicholas Carmine Todaro
• Eric Roy Von Der Lieth
• Erica Mihe Von Der Lieth, D.C.
• Sonia Vulakh, D.D.S
• Amgad Wassef, RPH, MBA

• Pediatric Dentistry in Park Ridge, NJ
• Providers in Park Ridge, 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 Nov 21, 2017; 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.