Pangborn Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PANGBORN FAMILY DENTISTRY LLC

Practice address

35 Pangborn PL
Hackensack, NJ 07601-4506

Phone

(201) 801-0101

Fax

(201) 488-9130

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Twaniqua Chisolm

Title

Manager

Phone

(201) 488-9030

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1982180360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011550",
            "telephone_number": "201-488-9030",
            "fax_number": "201-488-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PANGBORN PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014506",
            "telephone_number": "201-801-0101",
            "fax_number": "201-488-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANGBORN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "CHISOLM",
        "authorized_official_first_name": "TWANIQUA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-488-9030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Noelle Palmer
• Bernadette Palpallatoc, PT
• Sarah Palumbo
• Gary Panagiotakis, D.O.
• Shruti Pandiri, MD
• Pangborn Family Dentistry MGMT Inc
• Stefanos Pantagis, MD
• David Panush, MD
• Juliann Marie Paolicchi, MD
• George Papaleonardos, D.C.

• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, 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 Jul 18, 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.