Sylvan Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI021693 Issued in NJ

Legal business name

SYLVAN FAMILY DENTISTRY LLC

Practice address

333 Sylvan Ave
Ste 111
Englewood Cliffs, NJ 07632-2724

Phone

(201) 541-7001

Fax

(201) 541-7007

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mark C Lee, DDS

Title

Owner

Phone

(201) 541-7001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1992895619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "STE 111",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-541-7001",
            "fax_number": "201-541-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "STE 111",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-541-7001",
            "fax_number": "201-541-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-541-7001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI021693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.