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SPARKLE DENTAL CENTER LLC NPI 1275132854


NPI Information

NPI: 1275132854
Provider Name: SPARKLE DENTAL CENTER LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1037 ROUTE 46 STE C108
CLIFTON, NJ
ZIP 07013
Phone: (973) 778-2000
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SPARKLE DENTAL CENTER LLC is a general practice dentist in Clifton, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SPARKLE DENTAL CENTER LLC NPI is 1275132854. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1037 ROUTE 46 STE C108
CLIFTON, NJ
ZIP 07013-445
Phone: (973) 778-2000
Fax: (973) 778-2009

The provider's authorized official is Ramona Kennedy .
The authorized official title is Dentist and has the following contact phone number (973) 778-2000.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 10/23/2020.


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
11223G0001XDentistGeneral PracticeYes

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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