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AMARA DENTAL OF WALL P.A. NPI 1619427010


NPI Information

NPI: 1619427010
Provider Name: AMARA DENTAL OF WALL, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1933 ROUTE 35
UNIT 122
WALL TOWNSHIP, NJ
ZIP 07719
Phone: (732) 556-5000
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AMARA DENTAL OF WALL, P.A. is a general practice dentist in Wall Township, 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. AMARA DENTAL OF WALL, P.A. NPI is 1619427010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1933 ROUTE 35
UNIT 122
WALL TOWNSHIP, NJ
ZIP 07719-502
Phone: (732) 556-5000
Fax: (732) 556-5001

The provider's authorized official is Stephen Abbaticchio .
The authorized official title is Owner and has the following contact phone number (908) 237-1216.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 2/20/2019.


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 Practice22DI017432NEW 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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