Tri-State Dentistry Deh, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRI-STATE DENTISTRY DEH, LLC

Practice address

6801 Black Horse Pike Ste 1000
Egg Harbor Township, NJ 08234-4115

Phone

(856) 418-5436

NPI assigned

Mar 29, 2019

Organization subpart

Yes

Parent organization

TRI-STATE DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Shamik Desai

Title

Partner

Phone

(856) 418-5436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1871054940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BLACK HORSE PIKE STE 100",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344120",
            "telephone_number": "856-418-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 BLACK HORSE PIKE STE 1000",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344115",
            "telephone_number": "856-418-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Cooper St",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080962598",
            "country_code": "US",
            "telephone_number": "856-418-5436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-STATE DENTISTRY DEH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE DENTISTRY, LLC",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-418-5436"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Tourigian, APN
• Township of Egg Harbor
• Michelle Tran
• Transcare ML, Inc.
• Martina Travia
• David Trivers
• Kaly Ann Tscherne, MSN, APRN, FNP
• Irina A. Tsyganova, DPM
• Bradford Schofield Tucker, MD
• Victoria Tumasz, MS, OTR/L

• Dental Clinic/Center in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.