Master Dentistry Center Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MASTER DENTISTRY CENTER INC

Practice address

8412 Kennedy Blvd
North Bergen, NJ 07047-4265

Phone

(201) 758-7834

Fax

(201) 758-7837

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Raif R Wadi

Title

Owner

Phone

(210) 861-9440

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Ali Ayoub, DDS

  • General Practice Dentistry
  • North Bergen, NJ
  • NPI 1225566607
  NPD (past)
• Husam Musallam, DMD

  • Dentist
  • North Bergen, NJ
  • NPI 1760174072

  General Practice

  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1871075796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474265",
            "telephone_number": "201-758-7834",
            "fax_number": "201-758-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474265",
            "telephone_number": "201-758-7834",
            "fax_number": "201-758-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER DENTISTRY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "WADI",
        "authorized_official_first_name": "RAIF",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-861-9440"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Markantes
• Brenda Marquez Garcia
• Heidy Martinez-Avila, MD
• Emelyn Maria Martinez, MD
• Saleh Ahmed Massasati, MD
• Allison Mataras
• Sandra Alves Matias, NURSE PRACTITIONER
• Iliana C Matienzo
• Ariana Matos, MSW
• Emily Max, DO

• General Practice Dentistry in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.