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FAMILY & COSMETIC DENTISTRY OF N. BROAD LLC NPI 1023187697


NPI Information

NPI: 1023187697
Provider Name: FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
757 N BROAD ST
ELIZABETH, NJ
ZIP 07208
Phone: (908) 352-7730
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FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC is a general practice dentist in Elizabeth, 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. FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC NPI is 1023187697. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

757 N BROAD ST
ELIZABETH, NJ
ZIP 07208-482
Phone: (908) 352-7730
Fax: (908) 353-8453

The provider's authorized official is Elvira Dela Torre .
The authorized official title is Owner And Manager and has the following contact phone number (908) 352-7730.

The enumeration date for this NPI number is 11/7/2006 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 PracticeNEW 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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