Mid Jersey Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DIO1846503 Issued in NJ

Legal business name

MID JERSEY DENTAL

Practice address

1553 State Hwy 27
Suite 3400
Somerset, NJ 08873

Phone

(732) 545-7650

Fax

(732) 846-0858

NPI assigned

Mar 26, 2012

Last updated

Mar 26, 2012By 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. Scott David Lurie, D.M.D.

Title

President

Phone

(732) 545-7650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1871869750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 STATE HWY 27",
            "address_2": "SUITE 3400",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-545-7650",
            "fax_number": "732-846-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 STATE HWY 27",
            "address_2": "SUITE 3400",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-545-7650",
            "fax_number": "732-846-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID JERSEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-545-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO1846503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Anesthesia Consultants, P.C.
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• Jaime E Mezzadri, OT
• Michael P. Andronico, PH.D., P.C.
• Mamdoh Michael, CRNA
• Midjersey Family & Implant Dentistry
• Mikal, LLC (Home Instead Senior Care)
• Michael Milizzo, LCSW
• Diacynth Miller-Ames
• Christopher Ryan Miller, PT

• General Practice Dentistry in Somerset, NJ
• Providers in Somerset, 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 Mar 26, 2012; 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.