RENAISSANCE DENTAL GROUP PC NPI 1073725248

NPI Information

  • NPI: 1073725248
  • Provider Name: RENAISSANCE DENTAL GROUP, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 596 ANDERSON AVE
    SUITE# 206A
    CLIFFSIDE PARK, NJ
    ZIP 07010
  • Phone: (201) 840-7777

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NPI Details

RENAISSANCE DENTAL GROUP, PC is a dental clinic center in Cliffside Park, NJ. RENAISSANCE DENTAL GROUP, PC NPI is 1073725248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

596 ANDERSON AVE
SUITE# 206A
CLIFFSIDE PARK, NJ
ZIP 07010
Phone: (201) 840-7777
Fax: (201) 840-0377

The provider's authorized official is Anita Shulman .
The authorized official title is President and has the following contact phone number (201) 840-7777.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/8/2024.

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 PracticeNo
2261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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