Bordentown Dental Arts, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DIO18752 Issued in NJ

Legal business name

BORDENTOWN DENTAL ARTS, LLC

Practice address

3 Third Street
Suite 101
Bordentown, NJ 08505-1321

Phone

(609) 298-1964

Fax

(609) 298-8443

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By 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. Mark Birnbaum, DMDNPI 1962512749

Title

Owner

Phone

(609) 298-1964

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark I Birnbaum, DMD

  • Dentist
  • Bordertown, NJ
  • NPI 1962512749
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942419098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 THIRD STREET",
            "address_2": "SUITE 101",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-1964",
            "fax_number": "609-298-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 THIRD STREET",
            "address_2": "SUITE 101",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051321",
            "telephone_number": "609-298-1964",
            "fax_number": "609-298-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDENTOWN DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-298-1964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DIO18752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bestcare Medical Transportation LLC
• Vipul V Bhavsar, M.PHARM.
• Hillary Bilek, LCSW
• Mona Boktor
• Bordentown Counseling Center, LLC
• Bordentown Family Dental PC
• Bordentown Family Practice PA
• Bordentown Regional School District
• Boyds Pharmacy of Bordentown Inc (Boyds Pharmacy of Bordentown)
• Brain Life Connection LLC

• Dental Clinic/Center in Bordentown, NJ
• Providers in Bordentown, 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 Aug 22, 2020; 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.