DENTAL MENTORS (NPI# 1710300702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710300702 |
| Entity Type | Organization |
| Organization Name | DENTAL MENTORS |
| Other Organization Name | DENTAL SLEEP ALTERNATIVES |
| Practice Address |
166 Main St Suite 1b Lincoln Park NJ 07035-3707 |
| Mailing Address |
Po Box 457 166 Main Street Suite 1b Lincoln Park NJ 07035-0457 |
| Practice Telephone | 9736281449 |
| Practice Fax Number | 9736960037 |
| Mailing Telephone | 9736281449 |
| Mailing Fax Number | 9736960037 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. JOHN A TALTAVALL III (PARTNER) |
| Authorized Official Telephone | 9736281449 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
DI18175 | NJ | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DI18340 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dental Sleep Alternatives | Doing Business As Name - Organization |
| Street Address |
166 MAIN ST SUITE 1B |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851516926 | John Alfred Taltavall IIi | Dentist | 166 Main St, Suite 1b, Lincoln Park, NJ 07035-3707 | 2007-04-16 |
| 1407933138 | David Alan Runfeldt | Chiropractor | 166 Main St, Lincoln Park, NJ 07035-3707 | 2006-11-01 |
| 1780698068 | Jagdish R Jindal | Internal Medicine | 166 Main St, Suite 1-a, Lincoln Park, NJ 07035-3707 | 2006-07-29 |
| 1376586917 | William M Kaplan | Dentist | 166 Main St, Suite 1-b, Lincoln Park, NJ 07035-3707 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285884734 | Berro Dental Group | Clinic/Center | 1193 Southfield Rd, Lincoln Park, MI 48146-2450 | 2008-09-22 |
| 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 | LINCOLN PARK |
| Zip Code | 07035 |
Please comment or provide details below to improve the information on DENTAL MENTORS.
| 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.