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EXCEL DENTISTRY P.C. NPI 1982766853


NPI Information

NPI: 1982766853
Provider Name: EXCEL DENTISTRY, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
266 HARRISTOWN RD
SUITE 102
GLEN ROCK, NJ
ZIP 07452
Phone: (201) 652-0400
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EXCEL DENTISTRY, P.C. is a general practice dentist in Glen Rock, 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. EXCEL DENTISTRY, P.C. NPI is 1982766853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

266 HARRISTOWN RD
SUITE 102
GLEN ROCK, NJ
ZIP 07452-302
Phone: (201) 652-0400
Fax: (201) 447-5762

The provider's authorized official is Mayra Modesto-garrido .
The authorized official title is Dentist and has the following contact phone number (201) 652-0400.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 2/12/2015.


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
11223G0001XDentistGeneral Practice22DI01825501NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1898217OTHERNEW JERSEYUNITED CONCORDIA
20066028MEDICAIDNEW JERSEY
36037704MEDICAIDNEW JERSEY

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

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