Fiorentini Family Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI013528000 Issued in NJ

Legal business name

FIORENTINI FAMILY DENTAL GROUP LLC

Practice address

294 Applegarth Rd
Suite H
Monroe Township, NJ 08831-3798

Phone

(609) 655-1023

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mario Severino Fiorentini, DMD

Title

Sole Membe

Phone

(609) 655-1023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1992122840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 APPLEGARTH RD",
            "address_2": "SUITE H",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088313798",
            "telephone_number": "609-655-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 APPLEGARTH RD",
            "address_2": "SUITE H",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313798",
            "telephone_number": "609-655-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIORENTINI FAMILY DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "FIORENTINI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "SEVERINO",
        "authorized_official_title_or_position": "SOLE MEMBE",
        "authorized_official_telephone_number": "609-655-1023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI013528000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.