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PARK AVENUE DENTAL OF NJ NPI 1932119211


NPI Information

NPI: 1932119211
Provider Name: PARK AVENUE DENTAL OF NJ
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
155 PARK AVE
SUITE 207
LYNDHURST, NJ
ZIP 07071
Phone: (201) 507-5000
Get Directions

PARK AVENUE DENTAL OF NJ is a general practice dentist in Lyndhurst, 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. PARK AVENUE DENTAL OF NJ NPI is 1932119211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 PARK AVE
SUITE 207
LYNDHURST, NJ
ZIP 07071-462
Phone: (201) 507-5000
Fax: (201) 507-5141

The provider's authorized official is Kirk A Kalogiannis .
The authorized official title is President/dentist and has the following contact phone number (201) 507-5000.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/22/2020.


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 PracticeDI-18230NEW 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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