CHILDREN'S DENTAL CARE NPI 1649719675

NPI Information

NPI: 1649719675
Provider Name: CHILDREN'S DENTAL CARE

Doing Business As: CHILDREN'S DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3700 KENNEDY BLVD
UNION CITY, NJ
ZIP 07087
Phone: (646) 915-4003
Get Directions

CHILDREN'S DENTAL CARE 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. CHILDREN'S DENTAL CARE NPI is 1649719675. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Children's Dental Care.

The provider's business location address is:

3700 KENNEDY BLVD
UNION CITY, NJ
ZIP 07087-993
Phone: (646) 915-4003

The provider's authorized official is Poonam Gat .
The authorized official title is Dentist and has the following contact phone number (646) 915-4003.

The enumeration date for this NPI number is 2/23/2017 and was last updated on 11/24/2020.

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
1	1223G0001X	Dentist	General Practice	D10508200	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0439568	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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