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PEARL SMILE DENTAL PC NPI 1417335985


NPI Information

NPI: 1417335985
Provider Name: PEARL SMILE DENTAL PC

Other Name: WEST NEW YORK DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4900 BERGENLINE AVE
2ND FLOOR
UNION CITY, NJ
ZIP 07087
Phone: (201) 866-3000
Get Directions

PEARL SMILE DENTAL PC is a general practice dentist in Union City, 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. PEARL SMILE DENTAL PC NPI is 1417335985. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is West New York Dental.

The provider's business location address is:

4900 BERGENLINE AVE
2ND FLOOR
UNION CITY, NJ
ZIP 07087-611
Phone: (201) 866-3000
Fax: (201) 866-3001

The provider's authorized official is Rashid I Khalid .
The authorized official title is Owner and has the following contact phone number (201) 866-3000.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 5/15/2015.


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 Practice22DI02508600NEW 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
10310867MEDICAIDNEW 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: 4/28/2024

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