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SDNJ RADIOLOGY GROUP LLC NPI 1912247966


NPI Information

NPI: 1912247966
Provider Name: SDNJ RADIOLOGY GROUP, LLC
Classification: Dentist - 1223X0008X
Entity Type: Organization

Specialization: Oral and Maxillofacial Radiology

Address:
224 TAYLORS MILLS RD
SUITE 110
MANALAPAN, NJ
ZIP 07726
Phone: (732) 577-0555
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SDNJ RADIOLOGY GROUP, LLC is an oral and maxillofacial radiology dentist in Manalapan, NJ. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. SDNJ RADIOLOGY GROUP, LLC NPI is 1912247966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

224 TAYLORS MILLS RD
SUITE 110
MANALAPAN, NJ
ZIP 07726-281
Phone: (732) 577-0555
Fax: (732) 577-8555

The provider's authorized official is James Courey .
The authorized official title is Owner and has the following contact phone number (732) 577-0555.

The enumeration date for this NPI number is 2/27/2013 and was last updated on 2/27/2013.


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
11223X0008XDentistOral and Maxillofacial Radiology18597NEW 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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