EAST BRUNSWICK PERIODONTICS AND DENTAL IMPLANTS
NPI 1194861591
Dentist - Periodontics in East Brunswick, NJ

Active since January 30, 2007
E 7 BRIER HILL CT, EAST BRUNSWICK, NJ 08816(732) 651-8470(732) 651-8033 Get Directions Write a Review

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

About East Brunswick Periodontics And Dental Implants NPPES

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

EAST BRUNSWICK PERIODONTICS AND DENTAL IMPLANTS (NPI 1194861591) is a healthcare organization registered as a periodontics in East Brunswick, New Jersey and active in the NPI registry since January 2007. The organization lists Nima Mir Madjlessi, Doctor, as its authorized official.

NPPES Registry Identity

NPI1194861591
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEAST BRUNSWICK PERIODONTICS AND DENTAL IMPLANTS
Location AddressE 7 BRIER HILL CTEast Brunswick, NJ 08816-3336
Mailing AddressE 7 Brier Hill CtEast Brunswick, NJ 08816-3336 · (732) 651-8470 · Fax (732) 651-8033
Fax(732) 651-8033
Organization SubpartNo
Authorized OfficialNima Mir MadjlessiDoctor · (732) 651-8470
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1194861591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NJ · 20508
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.
E 7 BRIER HILL CT, East Brunswick, NJ 08816

Other Identifiers 1

Other1659303329NJ · National Provider Identif

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 East Brunswick Periodontics And Dental Implants's NPI number?

The NPI number for East Brunswick Periodontics And Dental Implants is 1194861591. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is East Brunswick Periodontics And Dental Implants located?

East Brunswick Periodontics And Dental Implants is located at E 7 Brier Hill Ct, East Brunswick, NJ 08816. The listed phone number is (732) 651-8470.

What is East Brunswick Periodontics And Dental Implants'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 East Brunswick Periodontics And Dental Implants 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.