MAIN STREET DENTAL - BECKETT (NPI# 1093245052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093245052 |
| Entity Type | Organization |
| Organization Name | MAIN STREET DENTAL - BECKETT |
| Practice Address |
538 Beckett Rd Logan Twp NJ 08085-1732 |
| Practice Telephone | 8562418600 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | KEITH DUNOFF (OWNER) |
| Authorized Official Telephone | 7327500707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
538 BECKETT RD |
| City | LOGAN TWP |
| State | NJ |
| Zip Code | 08085-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361402 | Jennifer M Carson | Licensed Practical Nurse | 212 Copper Road, Swedesboro, NJ 08085 | 2019-11-21 |
| 1699265132 | Zachariah G Smith | Nurse Practitioner | 499 Beckett Rd Ste 201, Logan Twp, NJ 08085 | 2018-05-10 |
| 1295251767 | Tierra J Brown | Social Worker | 1 Pondview Drive, K206, Woolwich Township, NJ 08085 | 2017-08-16 |
| 1861817967 | Aktep Behavioral LLC | Counselor | 701 Worthington Dr., Moorestown, NJ 08085 | 2014-02-26 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1043539588 | Suzanne Christine Foster-wolfe | Counselor | 318 Forrest Ln, Swedesboro, NJ 08085 | 2010-05-24 |
| 1902058639 | Helene Loubeau-magnet | Family Medicine | 134 Maple Hill Drive, Swedesboro, NJ 08085 | 2008-10-13 |
| 1447390299 | Leslie Alan Hess | Podiatrist | 300 Lexington Rd, Bldg. B Suite 230, Hess Ankle & Foot Center, Swedesboro, NJ 08085 | 2007-02-08 |
| 1205920162 | Bomze Westonpediatric Dentistry Associates | Dentist | 9 E. Main Street, Moorestown, NJ 08085 | 2006-10-03 |
| 1609807288 | Beckett Family Practice | Family Medicine | 545 Beckett Rd., Suite 806, Logan Twp., NJ 08085 | 2006-07-05 |
| Find all providers in zip 08085 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.