Ace Dental07 PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACE DENTAL07 PLLC

Practice address

231 Enterprise Dr.
Unit 3
Hewitt, TX 76643

Phone

(201) 925-3014

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Aronav Chakravarty

Title

Business Manager

Phone

(201) 925-0210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1982179743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E. ENTERPRISE DR.",
            "address_2": "UNIT 3",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "76643",
            "telephone_number": "201-925-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 ENTERPRISE DR.",
            "address_2": "UNIT 3",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "76643",
            "telephone_number": "201-925-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL07 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "CHAKRAVARTY",
        "authorized_official_first_name": "ARONAV",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "201-925-0210"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "29291",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hewitt, TX
• Providers in Hewitt, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.