DESIGNING SMILES IGEN DENTAL LLC NPI 1124617030

NPI Information

NPI: 1124617030
Provider Name: DESIGNING SMILES IGEN DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
121 ELM AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-3482
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DESIGNING SMILES IGEN DENTAL LLC is a dental clinic center in Hackensack, NJ. DESIGNING SMILES IGEN DENTAL LLC NPI is 1124617030. The provider is registered as an organization entity type.

The provider's business location address is:

121 ELM AVE
HACKENSACK, NJ
ZIP 07601-739
Phone: (201) 342-3482
Fax: (201) 343-4304

The provider's authorized official is Judith Mamah .
The authorized official title is President and has the following contact phone number (201) 960-0624.

The enumeration date for this NPI number is 1/14/2021 and was last updated on 1/14/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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