CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC NPI 1073767281

NPI Information

  • NPI: 1073767281
  • Provider Name: CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 176 SUMMERHILL RD
    EAST BRUNSWICK, NJ
    ZIP 08816
  • Phone: (732) 257-5588

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NPI Details

CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC is a pediatric dentistry dentist in East Brunswick, NJ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC NPI is 1073767281. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

176 SUMMERHILL RD
EAST BRUNSWICK, NJ
ZIP 08816-908
Phone: (732) 257-5588
Fax: (732) 257-9189

The provider's authorized official is Michelle May Backhaus .
The authorized official title is Owner/ Pediatric Dentist and has the following contact phone number (732) 257-5588.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics22DI02295100NEW JERSEYNo
21223P0221XDentistPediatric Dentistry22DI02292000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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