Ridgewood Valley Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIDGEWOOD VALLEY DENTISTRY LLC

Practice address

385 S Maple Ave Ste 107
Glen Rock, NJ 07452-1543

Phone

(201) 655-4122

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas A Avianto, DMDNPI 1831758663

Title

Owner/Member

Phone

(201) 655-4122

Specialties & licenses 1

Addresses

Other names 1

• RIDGEWOOD VALLEY PEDIATRIC DENTISTRY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Anthony Avianto, DMD

  • Pediatric Dentistry
  • Bloomfield, NJ
  • NPI 1831758663
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1992534614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE STE 107",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-655-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE STE 107",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-655-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD VALLEY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "AVIANTO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "201-655-4122",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGEWOOD VALLEY PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rejuvenate Dental Sleep Medicine
• Reliant Forensic Services
• Marina Revich-Kravzov, M.S. OTR/L
• Danielle Richardson
• Ridgewood Oral Surgery Center LLC
• Abigail Kathryn Riley, LAC, NCC
• Brittany Lynn Ritterman
• Charyn Eve Ritvo
• Raiyona Roane, LAC
• Deborah Ida Roberts, MA CCC-SLP

• Dental Clinic/Center in Glen Rock, NJ
• Providers in Glen Rock, 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 Jul 31, 2024; 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.