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ENGLEWOOD DENTAL PA NPI 1891715330


NPI Information

NPI: 1891715330
Provider Name: ENGLEWOOD DENTAL, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
370 GRAND AVE
SUITE 200
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 871-3555
Get Directions

ENGLEWOOD DENTAL, PA is a general practice dentist in Englewood, 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. ENGLEWOOD DENTAL, PA NPI is 1891715330. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

370 GRAND AVE
SUITE 200
ENGLEWOOD, NJ
ZIP 07631-154
Phone: (201) 871-3555
Fax: (201) 871-9096

The provider's authorized official is John Carlo Minichetti .
The authorized official title is President and has the following contact phone number (201) 871-3555.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 9/13/2012.


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 Practice13552NEW JERSEYYes

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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