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ANTHONY G & VINCENT DEVINCENTIS NPI 1659576643


NPI Information

NPI: 1659576643
Provider Name: ANTHONY G & VINCENT DEVINCENTIS

Doing Business As: BROOKDALE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1218 BROAD ST
BLOOMFIELD, NJ
ZIP 07003
Phone: (973) 338-3700
Get Directions

ANTHONY G & VINCENT DEVINCENTIS is a general practice dentist in Bloomfield, 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. ANTHONY G & VINCENT DEVINCENTIS NPI is 1659576643. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brookdale Dental Group.

The provider's business location address is:

1218 BROAD ST
BLOOMFIELD, NJ
ZIP 07003-031
Phone: (973) 338-3700
Fax: (973) 338-7560

The provider's authorized official is Vincent Paul Devincentis .
The authorized official title is Partner and has the following contact phone number (973) 338-3700.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 6/24/2008.


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 Practice22DIO1738000NEW 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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