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CENTER FOR FAMILY DENTISTRY NPI 1154574465


NPI Information

NPI: 1154574465
Provider Name: CENTER FOR FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1187 CLINTON AVE
IRVINGTON, NJ
ZIP 07111
Phone: (973) 375-0400
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CENTER FOR FAMILY DENTISTRY is a general practice dentist in Irvington, 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. CENTER FOR FAMILY DENTISTRY NPI is 1154574465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1187 CLINTON AVE
IRVINGTON, NJ
ZIP 07111
Phone: (973) 375-0400

The provider's authorized official is Fariba Sharifan .
The authorized official title is Dmd and has the following contact phone number (973) 375-0400.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 11/6/2008.


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 PracticeDI020295NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000299601OTHERNEW JERSEYAMERICHOICE
2011070OTHERNEW JERSEYDORAL DENTAL
360025186OTHERNEW JERSEYHORIZON NJ HEALTH
40110221-01MEDICAIDNEW 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: 11/14/2023

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