GRAND DENTAL PC NPI 1821159302

NPI Information

  • NPI: 1821159302
  • Provider Name: GRAND DENTAL, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 106 GRAND AVE
    3RD FLOOR
    ENGLEWOOD, NJ
    ZIP 07631
  • Phone: (201) 816-8696

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NPI Details

GRAND DENTAL, PC is a general practice dentist in Englewood, 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. GRAND DENTAL, PC NPI is 1821159302. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 GRAND AVE
3RD FLOOR
ENGLEWOOD, NJ
ZIP 07631-574
Phone: (201) 816-8696
Fax: (201) 816-9552

The provider's authorized official is Gustavo A Garces .
The authorized official title is Owner and has the following contact phone number (201) 816-8696.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/1/2008.

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 PracticeDI021495NEW 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: 11/21/2025

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