DENTAL ILLUMINATIONS NPI 1720117849

NPI Information

  • NPI: 1720117849
  • Provider Name: DENTAL ILLUMINATIONS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 660 PLAINSBORO ROAD
    PRINCETON MEADOWS SHOPPING CENTER
    PLAINSBORO, NJ
    ZIP 08536
  • Phone: (609) 275-9688

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NPI Details

DENTAL ILLUMINATIONS is a general practice dentist in Plainsboro, 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. DENTAL ILLUMINATIONS NPI is 1720117849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

660 PLAINSBORO ROAD
PRINCETON MEADOWS SHOPPING CENTER
PLAINSBORO, NJ
ZIP 08536
Phone: (609) 275-9688
Fax: (609) 275-9673

The provider's authorized official is Madhavi Venkata Kadiyala .
The authorized official title is President And Owner Dentist and has the following contact phone number (609) 275-9688.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral PracticeDI20500NEW JERSEYYes

What is NPI?

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This page was last updated on: 3/30/2025

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