Tri-State Dentistry Vde, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRI-STATE DENTISTRY VDE, LLC

Doing business as

Value Dental Centers

Practice address

2000 Clements Bridge Rd Ste 10
Deptford, NJ 08096-2016

Phone

(856) 418-5436

NPI assigned

Mar 27, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

TRI-STATE DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Shamik N Desai, DMD

Title

Partner

Phone

(856) 418-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Value Dental Centers Doing business as

Locations

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1942761499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLEMENTS BRIDGE RD STE 10",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962016",
            "telephone_number": "856-418-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 W Landis Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083603422",
            "country_code": "US",
            "telephone_number": "856-418-5436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-STATE DENTISTRY VDE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE DENTISTRY, LLC",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-418-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NZ",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Value Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Nemours Foundation
• Thrift Drug Inc (Rite Aid Pharmacy 10468)
• Daniel G. Timms, D.D.S.
• Porsche Trombley
• Ultra Care Clinics LLC
• Unity Heart Coordination Services
• Usv Optical Inc.
• Usv Optical Inc.

• Dental Clinic/Center in Deptford, NJ
• Providers in Deptford, 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 Mar 29, 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.