OrganizationActive
South Mountain Dental Specialty Group
NPI 1063634137 · Periodontics · South Orange, NJ
South Mountain Dental Specialty Group is a Periodontics organization in South Orange, NJ (NPI 1063634137).
Provider details
- NPI number
- 1063634137
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Ralph Gray, Partner(973) 378-2070
- License
- 15383 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
71 Valley St
Suite103
South Orange, NJ 07079
Phone: (973) 378-2070
Fax: (973) 378-8334
Street-level locationGet directions
Mailing address
71 Valley St
South Orange, NJ 07079
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Mountain Dental Specialty Group's NPI number?
- South Mountain Dental Specialty Group's National Provider Identifier (NPI) is 1063634137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Mountain Dental Specialty Group?
- South Mountain Dental Specialty Group is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is South Mountain Dental Specialty Group located?
- South Mountain Dental Specialty Group's practice location on file with NPPES is 71 Valley St, South Orange, NJ 07079.
- What is South Mountain Dental Specialty Group's phone number?
- The practice phone number listed in the NPPES registry for South Mountain Dental Specialty Group is (973) 378-2070.
- Who is the authorized official for South Mountain Dental Specialty Group?
- The authorized official listed on South Mountain Dental Specialty Group's NPPES record is Ralph Gray, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Mountain Dental Specialty Group's NPI active?
- Yes — South Mountain Dental Specialty Group's NPI (1063634137) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.