NPIMap

Organization Active NPI

Long Branch Dental Center

  • Dental Clinic/Center
  • Long Branch, NJ
National Provider Identifier
1992891865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19674 Issued in NJ
Legal business name
LONG BRANCH DENTAL CENTER
Practice address
9 Memorial Pkwy
Second Floor a
Long Branch, NJ 07740-6701
Phone
(732) 229-4434
Fax
(732) 229-4476
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hector F Morales Medina, DDS
Title
President
Phone
(732) 229-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19674 NJ Primary

Addresses

Primary practice location

9 Memorial Pkwy
Second Floor a
Long Branch, NJ 07740-6701

Mailing address

9 Memorial Pkwy
Second Floor a
Long Branch, NJ 07740-6701
Phone (732) 229-4434

National Provider Directory

National Provider Directory

Locations

9 Memorial Pkwy
#2
Long Branch, NJ 07740
Phone (732) 229-4434

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992891865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEMORIAL PKWY",
            "address_2": "SECOND FLOOR A",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406701",
            "telephone_number": "732-229-4434",
            "fax_number": "732-229-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEMORIAL PKWY",
            "address_2": "SECOND FLOOR A",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406701",
            "telephone_number": "732-229-4434",
            "fax_number": "732-229-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BRANCH DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALES MEDINA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-229-4434",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "19674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.