OrganizationActive
Premium Dentistry
NPI 1528557063 · Dentist · Lakewood, NJ
Premium Dentistry is a Dentist organization in Lakewood, NJ (NPI 1528557063).
Provider details
- NPI number
- 1528557063
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Dental Associates of Lakewood
- Organization subpart
- Yes
- Authorized official
- Andre Shivrattan, Credentialing Specialist(347) 579-5159
- License
- 22DI01842800 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
6 W Spruce St
Lakewood, NJ 08701-5007
Phone: (732) 364-5100
Fax: (201) 927-3474
Street-level locationGet directions
Mailing address
6 W Spruce St
Lakewood, NJ 08701-5007
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Frequently asked questions
- What is Premium Dentistry's NPI number?
- Premium Dentistry's National Provider Identifier (NPI) is 1528557063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Dentistry?
- Premium Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Premium Dentistry located?
- Premium Dentistry's practice location on file with NPPES is 6 W Spruce St, Lakewood, NJ 08701-5007.
- What is Premium Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Premium Dentistry is (732) 364-5100.
- Who is the authorized official for Premium Dentistry?
- The authorized official listed on Premium Dentistry's NPPES record is Andre Shivrattan, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Dentistry's NPI active?
- Yes — Premium Dentistry's NPI (1528557063) is active in the NPPES registry as of the last update on 2018-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.