Hollywood Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02508000 Issued in NJ

Legal business name

HOLLYWOOD PEDIATRIC DENTISTRY

Doing business as

Nutley Pediatric Dentistry

Practice address

500 Franklin Ave
Nutley, NJ 07110-1720

Phone

(973) 667-5507

Fax

(973) 667-6150

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Marie Hollywood, DMDNPI 1821364118

Title

Dentist

Phone

(973) 667-5507

Specialties & licenses 1

Addresses

Other names 1

• Nutley Pediatric Dentistry Doing business as

Locations

Practitioners 2

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

• Kimberly Marie Hollywood, DMD

  • Pediatric Dentistry
  • Nutley, NJ
  • NPI 1821364118
  NPD (past) Authorized official
• Fred Paul Appelbaum, DDS

  • Pediatric Dentistry
  • Nutley, NJ
  • NPI 1861567372
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1942797311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101720",
            "telephone_number": "973-667-5507",
            "fax_number": "973-667-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101720",
            "telephone_number": "973-667-5507",
            "fax_number": "973-667-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLLYWOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-667-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02508000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutley Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helping Hands Aide Services LLC
• Sara Herman, LSW
• High Street Rehab, LLC
• Patrick Hines, MD
• Holistic Counseling Center
• Kimberly Marie Hollywood, DMD
• Megan Grace Holt, PA
• Home We Go LLC
• Pranali Hoyle, PH.D.
• Danielle Denise Hungerbuhler, M.S., CCC-SLP

• Pediatric Dentistry in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.