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ADVANCED DENTISTRY OF SUMMIT LLC NPI 1083910285


NPI Information

NPI: 1083910285
Provider Name: ADVANCED DENTISTRY OF SUMMIT, LLC

Doing Business As: ADVANCED DENTISTRY, LLC

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
33 MAIN ST
STE. 101
CHATHAM, NJ
ZIP 07928
Phone: (973) 635-0626
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ADVANCED DENTISTRY OF SUMMIT, LLC is a customized equipment durable medical equipment medical supplies in Chatham, NJ. ADVANCED DENTISTRY OF SUMMIT, LLC NPI is 1083910285. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dentistry, Llc.

The provider's business location address is:

33 MAIN ST
STE. 101
CHATHAM, NJ
ZIP 07928-433
Phone: (973) 635-0626

The provider's authorized official is Corina Atanase .
The authorized official title is Dentist/owner and has the following contact phone number (973) 635-0626.

The enumeration date for this NPI number is 2/4/2011 and was last updated on 9/14/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment22DI02372900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11346393717OTHERNEW JERSEYDR. ATANASE NPI
26485920001MEDICARE NSCNEW JERSEY

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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