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DENTART OF PARAMUS NPI 1265965636


NPI Information

NPI: 1265965636
Provider Name: DENTART OF PARAMUS

Doing Business As: DENTAL HEALTH 360

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
501 N RTE 17
PARAMUS, NJ
ZIP 07652
Phone: (201) 497-1666
Get Directions

DENTART OF PARAMUS is a pediatric dentistry dentist in Paramus, 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. DENTART OF PARAMUS NPI is 1265965636. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental Health 360.

The provider's business location address is:

501 N RTE 17
PARAMUS, NJ
ZIP 07652-000
Phone: (201) 497-1666
Fax: (201) 497-1667

The provider's authorized official is Dmitry Stillman .
The authorized official title is Owner and has the following contact phone number (201) 497-1666.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 4/4/2017.


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
11223P0221XDentistPediatric Dentistry22DI01990900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10137375MEDICAIDNEW JERSEY

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: 5/5/2024

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