BRILLIANT SMILES DENTAL GROUP - MAGNOLIA LLC (NPI# 1538455324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538455324 |
| Entity Type | Organization |
| Organization Name | BRILLIANT SMILES DENTAL GROUP - MAGNOLIA LLC |
| Other Organization Name | HOMETOWN FAMILY DENTAL |
| Practice Address |
402 White Horse Pike S Magnolia NJ 08049-1061 |
| Practice Telephone | 8565669700 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | DR. MICHELLE AITKEN (OWNER) |
| Authorized Official Telephone | 8565669700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DI02244000 | NJ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Hometown Family Dental | Doing Business As Name - Organization |
| Street Address |
402 WHITE HORSE PIKE S |
| City | MAGNOLIA |
| State | NJ |
| Zip Code | 08049-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164511325 | Todd Ian Cohen | Dentist | 402 White Horse Pike S, Suite A, Magnolia, NJ 08049-1061 | 2006-10-12 |
| 1003033408 | Laura Coslet | Dentist | 402 White Horse Pike S, Magnolia, NJ 08049-1061 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184994188 | Medical House Call Associates | Nurse Practitioner | 536 White Horse Pike, Suite B, Magnolia, NJ 08049 | 2012-01-06 |
| 1508142506 | Ihuoma J Ottih | Nurse Practitioner | 536 N White Horse Pike, Suite B, Magnolia, NJ 08049 | 2011-10-24 |
| 1952507022 | An Xuan Tran | Dentist | 540 Fresno Drive, Magnolia, NJ 08049 | 2007-06-25 |
| 1437164423 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 N White Horse Pike, Magnolia, NJ 08049 | 2006-07-29 |
| 1649677949 | Rita Kabai | Nurse Practitioner | 536 N. White Horse Pike, Ste. B, Magnolia, NJ 08049-0001 | 2014-12-02 |
| 1801429618 | Rachel A Adamski | Specialist/Technologist | 420 Gloucester Ave, Magnolia, NJ 08049-1023 | 2020-02-20 |
| 1801276860 | Arc of Camden County - Sherwood Gh | In Home Supportive Care | 611 Sherwood Rd, Magnolia, NJ 08049-1126 | 2015-06-04 |
| 1033637913 | Arc of Camden County Sherwood Gh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 611 Sherwood Rd, Magnolia, NJ 08049-1126 | 2017-08-31 |
| 1417281239 | Steffany S. Hoffman | Behavioral Analyst | 217 Jackson Ave, Magnolia, NJ 08049-1221 | 2009-09-25 |
| 1235547340 | Elizabeth Fox | Occupational Therapist | 235 W Lincoln Ave, Magnolia, NJ 08049-1225 | 2014-08-01 |
| Find all providers in zip 08049 | ||||
| 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 |
|---|---|---|---|---|
| 1508351016 | Trinity Magnolia Dental Pllc | Dentist | 18640 Fm 1488 Rd Ste I, Magnolia, TX 77354-8517 | 2018-06-27 |
| 1982197083 | Anam Khan | Dentist | 6209 Fm 1488 Rd # M, Magnolia, TX 77354-2508 | 2018-06-13 |
| 1780021956 | Imaging Center of Magnolia Pllc | Dentist | 827 Magnolia Blvd Ste 2, Suite B, Magnolia, TX 77355-8553 | 2013-05-29 |
| 1609123587 | Sarah Wood Norman | Dentist | 7030 Fm 1488 Rd, Suite 200, Magnolia, TX 77354-6771 | 2012-08-09 |
| 1881858017 | Troy C Bonin | Dentist | 5403 Fm 1488 Rd, Ste A-7 (republic of Texas), Magnolia, TX 77354-2524 | 2008-07-16 |
| 1295927770 | Michael Gillogly | Dentist | 6606 Fm 1488 Rd Ste 136, Magnolia, TX 77354-2545 | 2007-08-17 |
| 1952507022 | An Xuan Tran | Dentist | 540 Fresno Drive, Magnolia, NJ 08049 | 2007-06-25 |
| 1033327499 | Robert Mark Tamborello | Dentist | 5403 Fm 1488, #7, Magnolia, TX 77354 | 2007-05-18 |
| 1811104748 | Nancy Goettee Sawyer | Dentist | 18252 Fm 1488 Rd, #120, Magnolia, TX 77354-8506 | 2007-05-17 |
| 1760550479 | James W Rotton Dds Pa | Dentist | 222 North Pine, Suite 4, Magnolia, AR 71753 | 2006-12-01 |
| Find all providers in MAGNOLIA | ||||
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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.