Abra Dental Roxbury, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ABRA DENTAL ROXBURY, LLC

Practice address

168 Route 10 W
Succasunna, NJ 07876-1434

Phone

(973) 715-5963

NPI assigned

Jul 6, 2022

Last updated

Mar 30, 2023By 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

Michael E. Skolnick, DMD

Title

Ceo

Phone

(973) 472-4900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1881327906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 ROUTE 10 W",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 ROUTE 10 W",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761434",
            "telephone_number": "973-715-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRA DENTAL ROXBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-472-4900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://childsmiles.com/",
            "affiliation": "N",
            "address_1": "168 Route 10 W",
            "city": "Succasunna",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078761434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.