MAXIM SULLA,DDS, PROFESSIONAL ASSOCIATION (NPI# 1174540959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174540959 |
| Entity Type | Organization |
| Organization Name | MAXIM SULLA,DDS, PROFESSIONAL ASSOCIATION |
| Other Organization Name | TENDER SMILES 4 KIDS |
| Practice Address |
1330 How Ln North Brunswick NJ 08902-1702 |
| Practice Telephone | 7322491010 |
| Practice Fax Number | 7322200177 |
| Mailing Telephone | 7322491010 |
| Mailing Fax Number | 7322200177 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | MAXIM SULLA (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7322491010 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DI 21205 | NJ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Tender Smiles 4 Kids | Doing Business As Name - Organization |
| Street Address |
1330 HOW LN |
| City | NORTH BRUNSWICK |
| State | NJ |
| Zip Code | 08902-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501673 | Siddhi Jayesh Shah | Dentist | 1330 How Ln, North Brunswick, NJ 08902-1702 | 2018-06-08 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780849422 | Meetu C Soni | Dentist | 746 Livingston Ave, Suite 2, North Brunswick, NJ 08902-2385 | 2008-07-22 |
| 1912040718 | Jorge H. Caceda | Dentist | 570 Georges Rd, North Brunswick, NJ 08902-2954 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508481565 | Kids First Pediatric Dentistry LLC | Dentist | 740 Marne Hwy Ste 103, Moorestown, NJ 08057-3126 | 2020-06-15 |
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1558831370 | Amazing Smiles Dentistry for Children, Pa | Dentist | 160 Mountain Ave Ste 101, Hackettstown, NJ 07840-2324 | 2018-12-05 |
| 1063915403 | Singh and Smile Pediatric Dentistry | Dentist | 180 South St Ste 104, New Providence, NJ 07974-1991 | 2018-03-12 |
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1972026144 | Otto M Choi Dds, PC | Dentist | 345 Old Hook Rd, Westwood, NJ 07675-3201 | 2017-07-19 |
| 1386175149 | William Christian Bertram Desonne | Dentist | 1692 Clements Bridge Rd, Deptford, NJ 08096-3028 | 2017-03-23 |
| 1295275758 | Anjali Soni | Dentist | 1910 East Route 70, Ste 9, Cherry Hill, NJ 08003 | 2017-03-03 |
| 1821542176 | Amy R Patel | Dentist | 191 Rte 206 Ste 11, Flanders, NJ 07836-9002 | 2016-08-03 |
| 1891248647 | Lyndhurst Pediatric Dentistry, LLC | Dentist | 710 Ridge Rd, Lyndhurst, NJ 07071-3224 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRUNSWICK |
| Zip Code | 08902 |
Please comment or provide details below to improve the information on MAXIM SULLA,DDS, PROFESSIONAL ASSOCIATION.
| 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.