Active NPIIndividual provider

Dr. Jack C Elbaum, DDS

Dentist, General Practice in Westfield, New Jersey

NPI Number1053447466
Practice location
203 Elm St, Second Floor, Westfield, NJ 07090-3120
Fax
908-232-0575
Last updated
July 8, 2007

Jack C Elbaum is a Dentist, General Practice based in Westfield, NJ. Jack C Elbaum practices in Westfield, NJ and has the professional credentials of DDS. The NPI Number for Jack C Elbaum is 1053447466 and holds a License No. 14926 (NJ). The current practice location address for Jack C Elbaum is 203 Elm St, Second Floor, Westfield, NJ 07090-3120 and can be reached out via phone at 908-232-4400 and via fax at 908-232-0575.

Provider Profile Details

NPI Number
1053447466
Provider Name
Jack C Elbaum
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
203 Elm St, Second Floor, Westfield, NJ 07090-3120
Phone Number
908-232-4400
Fax Number
908-232-0575
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Elm St
Second Floor
Westfield, NJ 07090-3120
Zip
07090-3120
Phone Number
908-232-4400
Fax Number
908-232-0575
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
203 Elm St
Second Floor
Westfield, NJ 07090-3120
City
Westfield
State
NJ
Zip
07090-3120
Phone Number
908-232-4400
Fax Number
908-232-0575

License Information

License Number
14926
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 Dr. Jack C Elbaum, DDS?

The NPI number of Dr. Jack C Elbaum, DDS is 1053447466. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack C Elbaum, DDS?

Dr. Jack C Elbaum, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 14926.

Where does Dr. Jack C Elbaum, DDS practice?

The practice location is 203 Elm St, Second Floor, Westfield, NJ 07090-3120. The office can be reached at 908-232-4400 (phone) or 908-232-0575 (fax).

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 1053447466 directly on the NPPES registry website.

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