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ADVANCED DENTAL OF JERSEY CITY LLC NPI 1003108051


NPI Information

NPI: 1003108051
Provider Name: ADVANCED DENTAL OF JERSEY CITY LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
223 MALLORY AVE
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 232-3358
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ADVANCED DENTAL OF JERSEY CITY LLC is a periodontics dentist in Jersey City, NJ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ADVANCED DENTAL OF JERSEY CITY LLC NPI is 1003108051. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

223 MALLORY AVE
JERSEY CITY, NJ
ZIP 07304-256
Phone: (201) 232-3358

The provider's authorized official is Peter Demetrius Tsambazis .
The authorized official title is Owner and has the following contact phone number (973) 586-4444.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice18218NEW JERSEYNo
21223P0300XDentistPeriodontics18218NEW 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: 11/14/2023

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