GARDEN STATE SMILES OF NORTH BRUNSWICK (NPI# 1558720698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558720698 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE SMILES OF NORTH BRUNSWICK |
| Practice Address |
1612 Route 27 North Brunswick NJ 08902-1451 |
| Practice Telephone | 7328466767 |
| Mailing Telephone | 7328466767 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | DR. VLAD DETINICH (PRESIDENT) |
| Authorized Official Telephone | 7323229297 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DI021211 | NJ | Dental Providers |
| Street Address |
1612 ROUTE 27 |
| City | NORTH BRUNSWICK |
| State | NJ |
| Zip Code | 08902-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076820 | Squire Dental Management LLC | Clinic/Center | 1612 Route 27, North Brunswick, NJ 08902-1451 | 2020-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932749835 | Helping Hands Healthcare Inc. | Clinic/Center | Helpinghands Healthcare Inc., 219 Black-horse Lane, North Brunswick, NJ 08902 | 2020-01-09 |
| 1598304370 | Jenna Kong | Dietitian, Registered | 943b Village Drive West, North Brunswick, NJ 08902 | 2019-12-27 |
| 1811556533 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1364 Sioux Rd, North Brunswick, NJ 08902 | 2019-06-06 |
| 1629635495 | Sarina Mulleavey LLC | Social Worker | 547 Havard Place, North Brunswick, NJ 08902 | 2019-05-28 |
| 1679044846 | Dental Cosmetic Center of North Brunswick PC | Dentist | 1648 Route 130 North, Suite #5, North Brunswick, NJ 08902 | 2018-12-16 |
| 1023502127 | Dungarvin New Jersey, LLC-albury | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 82 Albury Way, North Brunswick, NJ 08902 | 2018-06-21 |
| 1831617026 | Broadway Respite and Home Care, LLC | Respite Care | 1007 Livingston Ave, North Brunswick, NJ 08902 | 2017-09-07 |
| 1104349232 | Community Dental of North Brunswick | Dentist | 566 Milltown Road, North Brunswick, NJ 08902 | 2017-07-20 |
| 1174059539 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Riva Ave, North Brunswick, NJ 08902 | 2017-05-04 |
| 1336671684 | Pankti Dhaval Barot | Physical Therapist | 725 Perry Drive, North Brunswick, NJ 08902 | 2017-03-28 |
| Find all providers in zip 08902 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356722 | Scott Persaud | Dentist | 566 Milltown Rd, North Brunswick, NJ 08902-3327 | 2018-12-03 |
| 1104349232 | Community Dental of North Brunswick | Dentist | 566 Milltown Road, North Brunswick, NJ 08902 | 2017-07-20 |
| 1124491238 | Qian Chen | Dentist | 2000 Rte 27, Suite B, North Brunswick, NJ 08902-1348 | 2015-11-11 |
| 1932528379 | Gary Craig Braun | Dentist | 2208 Us Highway 130, North Brunswick, NJ 08902-4805 | 2014-04-14 |
| 1952650863 | Jinglin Sun | Dentist | 2000 State Highway No. 27, Suite B, North Brunswick, NJ 08902 | 2012-09-06 |
| 1356616726 | Araceli Ziemba | Dentist | 1626 Us Highway 130, North Brunswick, NJ 08902-3000 | 2012-03-18 |
| 1063793834 | Aaftab Singh Gill | Dentist | 1564 Us Highway 130, North Brunswick, NJ 08902 | 2011-09-07 |
| 1962689547 | Mamdouh S Soliman | Dentist | 370 Halsey Rd, North Brunswick, NJ 08902-2613 | 2008-01-26 |
| 1346459559 | Ronald Gary Leese | Dentist | 632 Livingston Avenue, North Brunswick, NJ 08902 | 2007-05-22 |
| 1801004684 | Vlad Detinich | Dentist | 1612 State Route 27, North Brunswick, NJ 08902-1451 | 2007-05-18 |
| Find all providers in NORTH BRUNSWICK | ||||
| City | NORTH BRUNSWICK |
| Zip Code | 08902 |
Please comment or provide details below to improve the information on GARDEN STATE SMILES OF NORTH BRUNSWICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.