Precision Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRECISION DENTISTRY LLC

Practice address

215 Old Tappan Rd Ste 2
Old Tappan, NJ 07675-7000

Phone

(201) 666-8811

NPI assigned

Oct 4, 2020

Organization subpart

No

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

Authorized official

Name

Wai Kee Fung, DDSNPI 1366587586

Title

President

Phone

(845) 595-6288

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.

• Wai Kee Fung, D.D.S.

  • Dentist
  • Old Tappan, NJ
  • NPI 1366587586

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1962009878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614-O UNION VALLEY RD # 310",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074802216",
            "telephone_number": "845-595-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD STE 2",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-666-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "WAI KEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-595-6288",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jooyoung Park, PHARM.D.
• Ju Young Park
• Martin David Pelavin, MD
• Cindy Pendergraft, MS, OTR/L
• Joshua Perez, DPT
• Proactive Foot and Ankle
• Psyched to Grow LLC
• Psychoeducational Assessments, L.L.C.
• Nicole Purwin, LCSW
• Jaimee Rizzo, BCBA

• General Practice Dentistry in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.