Dong Heon Oh DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DONG HEON OH DDS PC

Practice address

305 W Gand Avenue
Suite 600
Montvale, NJ 07645

Phone

(917) 597-8077

NPI assigned

Apr 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dong Heon Oh, DDSNPI 1699981670

Title

Owner

Phone

(917) 597-8077

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dong Heon Oh, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montvale, NJ
  • NPI 1699981670
  NPD Authorized official

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1851954416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W GAND AVENUE",
            "address_2": "SUITE 600",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "917-597-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GAND AVENUE",
            "address_2": "SUITE 600",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "917-597-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG HEON OH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "DONG HEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-597-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.