LIFETIME SMILES LLC (NPI# 1912531534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912531534 |
| Entity Type | Organization |
| Organization Name | LIFETIME SMILES LLC |
| Practice Address |
205 W Westfield Ave Roselle Park NJ 07204-1818 |
| Practice Telephone | 9082451745 |
| Mailing Telephone | 9082451745 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | YAMIZEL MELGAREJO-ROSALES (OFFICE MANAGER) |
| Authorized Official Telephone | 9082451745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
205 W WESTFIELD AVE |
| City | ROSELLE PARK |
| State | NJ |
| Zip Code | 07204-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234160 | Jennifer Estela-stollwerck | Nurse Practitioner | 744 Galloping Hill Road, Roselle Park, NJ 07204 | 2016-01-29 |
| 1245668805 | Kristin M Sonneborn | Physical Therapist | 430 East Westfield Avenue Case Plus Rehab, Roselle Park, NJ 07204 | 2013-10-17 |
| 1366785115 | Jeffrey Adam Shrensel | Internal Medicine | 318 East Westfield Avenue, Roselle Park, NJ 07204 | 2013-03-30 |
| 1972760734 | Mailyn Sanchez Malabanan | Physical Therapy Assistant | 820 Elm Street, Roselle Park, NJ 07204 | 2008-05-20 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1245384916 | Senior Spirit of Roselle Park | Clinic/Center | 430 East Westfield Avenue, Roselle Park, NJ 07204 | 2007-01-22 |
| 1366592040 | Norman J. Schwartz, Dmd, Pa | Dentist | 14 East Westfield Ave, Roselle Park, NJ 07204 | 2007-01-12 |
| 1437226495 | Garden State Dental Associates, LLC | Dentist | 236 East Westfield Avenue, Roselle Park, NJ 07204 | 2006-11-28 |
| 1851311674 | Stephen D Parker | Family Medicine | 331 Chestnut Street, Roselle Park, NJ 07204 | 2006-07-21 |
| 1447205067 | Gerald West | Otolaryngology | 505 Chestnut Street, Roselle Park, NJ 07204 | 2006-05-23 |
| Find all providers in zip 07204 | ||||
| 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 |
|---|---|---|---|---|
| 1437226495 | Garden State Dental Associates, LLC | Dentist | 236 East Westfield Avenue, Roselle Park, NJ 07204 | 2006-11-28 |
| 1922485226 | Mark P. Cohen, Dds, Pa | Dentist | 142 Walnut St, Roselle Park, NJ 07204-2204 | 2015-05-06 |
| 1447400148 | Karn K Dev | Dentist | 236 E Westfield Ave, Roselle Park, NJ 07204-2084 | 2008-09-30 |
| 1922201672 | Albert John Gosen | Dentist | 744 Galloping Hill Rd, Roselle Park, NJ 07204 | 2007-06-08 |
| 1548362023 | Lester Bruce Burman | Dentist | 141 Chestnut St, Roselle Park, NJ 07204-2261 | 2006-09-04 |
| 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 | ||||
| City | ROSELLE PARK |
| Zip Code | 07204 |
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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.