Provider Demographics
NPI:1588025696
Name:HIGHTSTOWN DENTALCARE LLC
Entity Type:Organization
Organization Name:HIGHTSTOWN DENTALCARE LLC
Other - Org Name:ALL SMILES FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANJALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-443-3030
Mailing Address - Street 1:370 ROUTE 130
Mailing Address - Street 2:SUITE 9
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2733
Mailing Address - Country:US
Mailing Address - Phone:609-443-3030
Mailing Address - Fax:609-443-3035
Practice Address - Street 1:370 ROUTE 130
Practice Address - Street 2:SUITE 9
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2733
Practice Address - Country:US
Practice Address - Phone:609-443-3030
Practice Address - Fax:609-443-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020762001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty