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THE SMILE SPA OF NORTH JERSEYLLC NPI 1457679847


NPI Information

NPI: 1457679847
Provider Name: THE SMILE SPA OF NORTH JERSEY,LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
759 LAFAYETTE AVE
HAWTHORNE, NJ
ZIP 07506
Phone: (973) 427-1443
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THE SMILE SPA OF NORTH JERSEY,LLC is a periodontics dentist in Hawthorne, NJ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. THE SMILE SPA OF NORTH JERSEY,LLC NPI is 1457679847. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

759 LAFAYETTE AVE
HAWTHORNE, NJ
ZIP 07506-855
Phone: (973) 427-1443

The provider's authorized official is Debra Rosenblatt .
The authorized official title is Owner and has the following contact phone number (201) 445-2797.

The enumeration date for this NPI number is 5/10/2010 and was last updated on 5/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
21223P0300XDentistPeriodonticsYes

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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