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ATLANTIC PEDIATRIC DENTISTRY PC NPI 1770759094


NPI Information

NPI: 1770759094
Provider Name: ATLANTIC PEDIATRIC DENTISTRY, PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 31D2071588

Address:
200 WHITE RD
SUITE #113
LITTLE SILVER, NJ
ZIP 07739
Phone: (732) 842-1155
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ATLANTIC PEDIATRIC DENTISTRY, PC is a pediatric dentistry dentist in Little Silver, NJ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ATLANTIC PEDIATRIC DENTISTRY, PC NPI is 1770759094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 WHITE RD
SUITE #113
LITTLE SILVER, NJ
ZIP 07739-150
Phone: (732) 842-1155

The provider's authorized official is Matt M Safari .
The authorized official title is President/ceo and has the following contact phone number (732) 842-1155.

The CLIA number assigned to this NPI record is 31D2071588 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.


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
11223P0221XDentistPediatric Dentistry22DI02121000NEW 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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