Deluxe Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DELUXE DENTISTRY LLC

Doing business as

Deluxe Dentistry

Practice address

100 Federal City Rd # 104B
Lawrenceville, NJ 08648-1664

Phone

(609) 718-7997

Fax

(888) 575-1408

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Maxim Godko, DDSNPI 1558815365

Title

Owner/Manager

Phone

(609) 718-7997

Specialties & licenses 1

Addresses

Other names 1

• Deluxe Dentistry Doing business as

Locations

Practitioners 1

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

• Maxim Godko, D.D.S.

  • General Practice Dentistry
  • Lawrenceville, NJ
  • NPI 1558815365
  NPD Authorized official

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1902450224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FEDERAL CITY RD # 104B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481664",
            "telephone_number": "609-718-7997",
            "fax_number": "888-575-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FEDERAL CITY RD # 104B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481664",
            "telephone_number": "609-718-7997",
            "fax_number": "888-575-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "GODKO",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "609-718-7997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deluxe Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaware Valley Physical Therapy Associates PA
• Delaware Valley Retina Associates PC
• Gina C Delgiudice, M.D.
• Debra J Deluca, M.D.
• Phyllis Delucia, BCBA
• Erik John Salaria Deocera, DPT
• Paul Derman, DMD
• Seth G Derman, MD
• Allison Dertouzos, PA-C
• Bharat V Desai, MD

• Dental Clinic/Center in Lawrenceville, NJ
• Providers in Lawrenceville, 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 Jul 25, 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.