Old Bridge Dental Arts

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

OLD BRIDGE DENTAL ARTS

Practice address

30 State Highway 18
Old Bridge, NJ 08857

Phone

(732) 257-5600

Fax

(732) 651-1454

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mordecai Liechtung, D.M.D.

Title

Dentist

Phone

(732) 257-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1982003315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STATE HIGHWAY 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-257-5600",
            "fax_number": "732-651-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STATE HIGHWAY 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-257-5600",
            "fax_number": "732-651-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "LIECHTUNG",
        "authorized_official_first_name": "MORDECAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-257-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ofure Oboh
• Ebitimi Florence Okoya-Wilcox, RPH
• Jonathan Okun, MD
• Old Bridge Center of Physical Therapy Inc
• Old Bridge Dental Arts
• Old Bridge Dental Care
• Old Bridge Dental Center
• Old Bridge Dental Practice LLC
• Old Bridge Drugs and Surgicals LLC
• Old Bridge Family Eyecare LLC

• Preferred Provider Organization in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.