NPIMap

Organization Active NPI

Perfect Smile Dental Office PC

Doing business as the perfect smile

  • Dentist
  • Red Bank, NJ
National Provider Identifier
1932388923
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19585 Issued in NJ
Legal business name
PERFECT SMILE DENTAL OFFICE PC
Doing business as
the perfect smile
Practice address
326 Broad St
Red Bank, NJ 07701-2167
Phone
(732) 224-9339
Fax
(732) 224-1342
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mrs. Terri J Shaffer
Title
Manager
Phone
(732) 224-9339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19585 NJ Primary

Addresses

Primary practice location

326 Broad St
Red Bank, NJ 07701-2167

Mailing address

326 Broad St
Red Bank, NJ 07701-2167
Phone (732) 224-9339

Other names 1

  • the perfect smile Doing business as

National Provider Directory

National Provider Directory

Locations

326 Broad St
Red Bank, NJ 07701
Phone (732) 219-8851

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1932388923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012167",
            "telephone_number": "732-224-9339",
            "fax_number": "732-224-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012167",
            "telephone_number": "732-224-9339",
            "fax_number": "732-224-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILE DENTAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-224-9339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "19585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the perfect smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.