DELUXE DENTISTRY LLC (NPI# 1902450224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902450224 |
Entity Type | Organization |
Organization Name | DELUXE DENTISTRY LLC |
Practice Address |
100 Federal City Rd # 104b Lawrenceville NJ 08648-1664 |
Practice Telephone | 6097187997 |
Practice Fax Number | 8885751408 |
Mailing Telephone | 6097187997 |
Mailing Fax Number | 8885751408 |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |
Authorized Official Name | DR. MAXIM GODKO (OWNER/MANAGER) |
Authorized Official Telephone | 6097187997 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Deluxe Dentistry | Doing Business As Name - Organization |
Street Address |
100 FEDERAL CITY RD # 104B |
City | LAWRENCEVILLE |
State | NJ |
Zip Code | 08648-1664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558815365 | Maxim Godko | Dentist | 100 Federal City Rd # 104b, Lawrenceville, NJ 08648-1664 | 2016-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
Find all providers in zip 08648 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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---|---|---|---|---|
1932754611 | Jun Dentistry LLC | Clinic/Center | 719 Scenic Hwy Ste B, Lawrenceville, GA 30046-6379 | 2019-08-08 |
1598287930 | Gwinnett Denture Center PC | Clinic/Center | 1030 Duluth Hwy Ste B, Lawrenceville, GA 30043-5215 | 2017-07-07 |
1285099077 | Griffith Dental LLC | Clinic/Center | 2100 Riverside Pkwy Ste 130, Lawrenceville, GA 30043-5914 | 2015-12-21 |
1649886102 | Mansouri Dental Care PC | Clinic/Center | 2401 Lawrenceville Hwy Ste A, Lawrenceville, GA 30044-4669 | 2020-09-21 |
1730719253 | Lawrenceville Pediatric Dentistry | Clinic/Center | 4850 Sugarloaf Pkwy Ste 611, Lawrenceville, GA 30044-2866 | 2020-01-23 |
1255664819 | Tioga Dental Services | Clinic/Center | 34 E Lawrence Rd, Lawrenceville, PA 16929-8801 | 2009-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
Find all providers with the same taxonomy |
City | LAWRENCEVILLE |
Zip Code | 08648 |
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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.