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SOUTH MOUNTAIN DENTAL SPECIALTY GROUP
NPI 1063634137
Dentist - Periodontics in South Orange, NJ

Active since May 02, 2007
71 VALLEY ST, SUITE103, SOUTH ORANGE, NJ 07079(973) 378-2070(973) 378-8334 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Mountain Dental Specialty Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH MOUNTAIN DENTAL SPECIALTY GROUP (NPI 1063634137) is a healthcare organization registered as a periodontics in South Orange, New Jersey and active in the NPI registry since May 2007. The organization lists Ralph C Gray, Partner, as its authorized official.

NPPES Registry Identity

NPI1063634137
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSOUTH MOUNTAIN DENTAL SPECIALTY GROUP
Location Address71 VALLEY ST, SUITE103South Orange, NJ 07079
Mailing Address71 Valley St, Suite103South Orange, NJ 07079 · (973) 378-2070 · Fax (973) 378-8334
Phone(973) 378-2070
Fax(973) 378-8334
Organization SubpartNo
Authorized OfficialRalph C GrayPartner · (973) 378-2070
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063634137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · 15383
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
71 VALLEY ST, South Orange, NJ 07079
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN DARNELL JOHNSON DDS
Dentist (Endodontics)
71 VALLEY ST, SUITE103
SOUTH ORANGE, NJ 07079
Essex County (973) 378-2070
DR. RALPH CHARLES GRAY SR. DDS
Dentist (Periodontics)
71 VALLEY ST, SUITE103
SOUTH ORANGE, NJ 07079
Essex County (973) 378-2070
TOTAL ENDODONTICS OF SOUTH ORANGE
Dentist (Endodontics)
71 VALLEY ST
SOUTH ORANGE, NJ 07079
Essex County (301) 358-5538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Mountain Dental Specialty Group's NPI number?

The NPI number for South Mountain Dental Specialty Group is 1063634137. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is South Mountain Dental Specialty Group located?

South Mountain Dental Specialty Group is located at 71 Valley St Suite103, South Orange, NJ 07079. The listed phone number is (973) 378-2070.

What is South Mountain Dental Specialty Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for South Mountain Dental Specialty Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.