Jersey Smile Dental, LLC
Organization Active NPI Dental Clinic/Center · Spotswood, NJ
NPI 1982014114 · NPPES record last updated Apr 28, 2014
Key facts
- NPI
- 1982014114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 22DI02322000 (NJ)
- Legal business name
- JERSEY SMILE DENTAL, LLC
- Practice address
- 407 Main St
Spotswood, NJ 08884-1739 - Phone
- (732) 387-2360
- Fax
- (732) 387-2561
- NPI assigned
- Apr 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Svetlana Konstantinova, D.D.S.
- Title
- Co-Owner/Dentist
- Phone
- (732) 387-2360
National Provider Directory
Locations
407 Main St
Spotswood, NJ 08884
Phone (732) 387-2360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 22DI02322000 | NJ | Yes |
Addresses
Primary practice location
407 Main St
Spotswood, NJ 08884-1739
Mailing address
407 Main St
Spotswood, NJ 08884-1739
Phone (732) 387-2360
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.