Active NPIIndividual provider

Ms. Ayanna C Bradshaw-Sydnor, DDS

Dentist, General Practice in East Orange, New Jersey

NPI Number1043447543
Practice location
72 N Munn Ave, Apartment #1, East Orange, NJ 07017-4122
Fax
—
Last updated
June 11, 2012

Ayanna Celeste Bradshaw-Sydnor is a Dentist, General Practice based in East Orange, NJ. Ayanna Celeste Bradshaw-Sydnor practices in East Orange, NJ and has the professional credentials of DDS. The NPI Number for Ayanna Celeste Bradshaw-Sydnor is 1043447543 and holds a License No. 22010248900 (NJ). The current practice location address for Ayanna Celeste Bradshaw-Sydnor is 72 N Munn Ave, Apartment #1, East Orange, NJ 07017-4122 and can be reached out via phone at 404-323-1569.

Provider Profile Details

NPI Number
1043447543
Provider Name
Ayanna Celeste Bradshaw-Sydnor
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
72 N Munn Ave, Apartment #1, East Orange, NJ 07017-4122
Phone Number
404-323-1569
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2009
Last Update Date
June 11, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 N Munn Ave
Apartment #1
East Orange, NJ 07017-4122
Zip
07017-4122
Phone Number
404-323-1569
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
275 Hobart St
Jewish Renaissance Medical Center-Dental Department
Perth Amboy, NJ 08861-3396
City
Perth Amboy
State
NJ
Zip
08861-3396
Phone Number
973-376-9333
Fax Number
973-293-0139

License Information

License Number
22010248900
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Ayanna C Bradshaw-Sydnor, DDS?

The NPI number of Ms. Ayanna C Bradshaw-Sydnor, DDS is 1043447543. It was assigned on June 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Ayanna C Bradshaw-Sydnor, DDS?

Ms. Ayanna C Bradshaw-Sydnor, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22010248900.

Where does Ms. Ayanna C Bradshaw-Sydnor, DDS practice?

The practice location is 72 N Munn Ave, Apartment #1, East Orange, NJ 07017-4122. The office can be reached at 404-323-1569 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043447543 directly on the NPPES registry website.

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