Royaldentalgroup LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02386200 Issued in NJ

Legal business name

ROYALDENTALGROUP LLC

Practice address

6 Bloomfield Ave
Bloomfield, NJ 07003-5905

Phone

(973) 337-5879

Fax

(973) 337-5102

NPI assigned

Aug 30, 2013

Last updated

Aug 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Othmane Seddiki

Title

Dentist

Phone

(973) 337-5879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1982038584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035905",
            "telephone_number": "973-337-5879",
            "fax_number": "973-337-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035905",
            "telephone_number": "973-337-5879",
            "fax_number": "973-337-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALDENTALGROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "SEDDIKI",
        "authorized_official_first_name": "OTHMANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-337-5879",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02386200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shara A Rondon, MA, LAC
• Robert Rosania Jr., D.C.
• Sarah Rosenstock, FNP
• Eric Rosier, MD
• Aron D Rovner, MD
• Marjorie R. Rozman, MSW, LCSW
• Irene Rubinson Sullivan, LAMFT
• Maria Rueda-McSwain
• Robert Ruffalo, P.T.
• Patricia Ruggiero, LCSW

• General Practice Dentistry in Bloomfield, NJ
• Providers in Bloomfield, 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 Aug 30, 2013; 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.