DR. GEORGE S. MARDIROSSIAN (NPI# 1659337830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659337830 |
| Entity Type | Individual |
| Full Name | DR. GEORGE S. MARDIROSSIAN |
| Credential | DMD |
| Practice Address |
13 Somerdale Sq Somerdale NJ 08083-1345 |
| Mailing Address |
52 Arkansas Ave Ocean City NJ 08226-2932 |
| Practice Telephone | 8565666969 |
| Practice Fax Number | 8565666012 |
| Mailing Telephone | 8565666969 |
| Mailing Fax Number | 8565666012 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI00853400 | NJ | Dental Providers |
| Street Address |
13 SOMERDALE SQ |
| City | SOMERDALE |
| State | NJ |
| Zip Code | 08083-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356000 | Kenson Emanuel Noel | Dentist | 13 Somerdale Sq, Umdnj-university Dental Center-somerdale, Somerdale, NJ 08083-1345 | 2006-04-19 |
| 1831452630 | Harris N Colton | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2012-06-18 |
| 1447430871 | Stanley T. Praiss | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2007-11-14 |
| 1467668533 | Richard William D'eustachio | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2007-05-15 |
| 1831302504 | Rutgers School of Dental Medicine | Clinic/Center | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2007-05-08 |
| 1013082189 | Shawn Patrick Kelly | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-11-22 |
| 1467418269 | Sunita Menon | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-04-21 |
| 1467417659 | Michael Steven Cappuccilli | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053620351 | Wal-mart Stores East Lp | Technician/Technologist | 1 Coopertown Blvd, Somersdale, NJ 08083 | 2010-10-04 |
| 1336344548 | Diana Neal Juelg | Nurse Practitioner | 22 E. Evergreen Avenue, Somerdale, NJ 08083 | 2007-06-18 |
| 1598890295 | Shawn Thomas Klenk | Specialist/Technologist | 102 Rex Rd., Somerdale, NJ 08083 | 2007-02-22 |
| 1588741870 | John Raymond Tocco | Specialist | 701 W. Somerdale Road, Somerdale, NJ 08083 | 2006-11-01 |
| 1245218163 | Diana L Scott | Obstetrics & Gynecology | 1 Somerdale Sq, Somerdale, NJ 08083 | 2006-01-03 |
| 1013552702 | Integrity Family Solutions | Community/Behavioral Health | 104 Kennedy Blvd, Somerdale, NJ 08083-1019 | 2019-11-17 |
| 1649373978 | Vijay K Kalola | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-05 |
| 1639260896 | Primary Care Affiliates of Nj, Pa | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-27 |
| 1932203171 | Jayesh Patel | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-08 |
| 1295727642 | Alan D Budman | Podiatrist | 301 E Somerdale Rd, Somerdale, NJ 08083-1107 | 2005-08-19 |
| Find all providers in zip 08083 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GEORGE S. MARDIROSSIAN.
| 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.