Fords Family Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DI16918 Issued in NJ

Legal business name

FORDS FAMILY DENTAL CARE LLC

Practice address

532 New Brunswick Ave
Fords, NJ 08863

Phone

(732) 738-9087

Fax

(732) 738-7317

NPI assigned

Apr 12, 2007

Last updated

Sep 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stella Efthymiou-Backos, DDSNPI 1598994113

Title

Doctor/Owner

Phone

(732) 738-9087

Specialties & licenses 2

Addresses

Other names 1

• Dental Office Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stella Efthymiou-Backos, DDS

  • General Practice Dentistry
  • Fords, NJ
  • NPI 1598994113
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1992929889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 NEW BRUNSWICK AVENUE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "08863",
            "telephone_number": "732-738-9087",
            "fax_number": "732-738-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 NEW BRUNSWICK AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "08863",
            "telephone_number": "732-738-9087",
            "fax_number": "732-738-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDS FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "EFTHYMIOU-BACKOS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "732-738-9087",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI15467",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI16918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tara Ehmann, LPC
• Emergency Medical Associates
• Armie Farcon, D.M.D.
• Cayetano Farcon, D.M.D.
• FNL Medical Supply LLC
• Fords Rehab LLC
• Marianne Gabrael, LPC, NCC
• Galaxy Tech 786 LLC
• Ryan Garner, LPC
• Kathryn Gawron, M.S.ED

• Dentist in Fords, NJ
• Providers in Fords, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.