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ADVANCED DENTAL SPECIALTY GROUP NPI 1720405764


NPI Information

NPI: 1720405764
Provider Name: ADVANCED DENTAL SPECIALTY GROUP
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
7 SYLVAN AVENUE
ENGLEWOOD CLIFFS, NJ
ZIP 07632
Phone: (201) 302-0700
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ADVANCED DENTAL SPECIALTY GROUP is an oral and maxillofacial surgery dentist in Englewood Cliffs, NJ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ADVANCED DENTAL SPECIALTY GROUP NPI is 1720405764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 SYLVAN AVENUE
ENGLEWOOD CLIFFS, NJ
ZIP 07632
Phone: (201) 302-0700
Fax: (201) 302-9857

The provider's authorized official is Alexander E. Lee .
The authorized official title is President and has the following contact phone number (201) 302-0700.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 3/27/2014.


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
11223S0112XDentistOral and Maxillofacial Surgery18599NEW 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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