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RIDGEWOOD DENTAL ASSOCIATES LLC NPI 1285966267


NPI Information

NPI: 1285966267
Provider Name: RIDGEWOOD DENTAL ASSOCIATES, LLC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

CLIA Number: 31D2183134

Address:
166 FRANKLIN AVE
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 652-2474
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RIDGEWOOD DENTAL ASSOCIATES, LLC is a prosthodontics dentist in Ridgewood, NJ. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. RIDGEWOOD DENTAL ASSOCIATES, LLC NPI is 1285966267. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

166 FRANKLIN AVE
RIDGEWOOD, NJ
ZIP 07450-206
Phone: (201) 652-2474
Fax: (201) 652-7916

The provider's authorized official is Jin Ha Joung .
The authorized official title is Member and has the following contact phone number (201) 652-2474.

The CLIA number assigned to this NPI record is 31D2183134 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2010 and was last updated on 2/2/2010.


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 Practice22DI02373100NEW JERSEYNo
21223P0300XDentistPeriodontics22DI02373200NEW JERSEYNo
31223P0700XDentistProsthodontics22DI02373200NEW 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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