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PEDIATRIC DENTAL ASSOCIATES LLC NPI 1932311941


NPI Information

NPI: 1932311941
Provider Name: PEDIATRIC DENTAL ASSOCIATES LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
195 SOUTH MAPLE AVE.
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 652-7020
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PEDIATRIC DENTAL ASSOCIATES LLC is a pediatric dentistry dentist in Ridgewood, 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. PEDIATRIC DENTAL ASSOCIATES LLC NPI is 1932311941. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

195 SOUTH MAPLE AVE.
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 652-7020
Fax: (201) 652-1550

The provider's authorized official is Sari C Zimmer .
The authorized official title is Secretary and has the following contact phone number (201) 652-7020.

The enumeration date for this NPI number is 5/3/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry19114NEW JERSEYYes
21223P0221XDentistPediatric Dentistry22065NEW JERSEYX
31223P0221XDentistPediatric Dentistry18921NEW JERSEYX
41223X0400XDentistOrthodontics and Dentofacial Orthopedics10720NEW JERSEYX
51223X0400XDentistOrthodontics and Dentofacial Orthopedics9871NEW JERSEYX

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.