DR DENTAL OF WEST ORANGE PC NPI 1558991612

NPI Information

  • NPI: 1558991612
  • Provider Name: DR DENTAL OF WEST ORANGE PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 495 PROSPECT AVE
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (508) 620-4563

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NPI Details

DR DENTAL OF WEST ORANGE PC is a dental clinic center in West Orange, NJ. DR DENTAL OF WEST ORANGE PC NPI is 1558991612. The provider is registered as an organization entity type.

The provider's business location address is:

495 PROSPECT AVE
WEST ORANGE, NJ
ZIP 07052-100
Phone: (508) 620-4563
Fax: (508) 297-9083

The provider's authorized official is Sheila Champagne .
The authorized official title is Acct Mgr and has the following contact phone number (508) 620-4563.

The enumeration date for this NPI number is 1/17/2020 and was last updated on 1/17/2020.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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