Brookside Family Dental Corp
Dentist, General Practice in Bloomfield, New Jersey
1053585612- Practice location
- 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003
- Phone
- 973-566-6161
- Fax
- 973-566-0866
- Last updated
- April 15, 2008
Brookside Family Dental Corp is a healthcare organization based in Bloomfield, NJ. Brookside Family Dental Corp practices in Bloomfield, NJ. The NPI Number for Brookside Family Dental Corp is 1053585612 and holds a License No. D1020914 (NJ). The current practice location address for Brookside Family Dental Corp is 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003 and can be reached out via phone at 973-566-6161 and via fax at 973-566-0866.
Provider Profile Details
- NPI Number
- 1053585612
- Provider Name
- Brookside Family Dental Corp
- Provider Entity Type
- Organization
- Address
- 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003
- Phone Number
- 973-566-6161
- Fax Number
- 973-566-0866
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Kinda Hanna Yacoub · DDS · 973-566-6161
- Other Names
- Brookside Family Dental (Former Legal Business Name)
- Provider Enumeration Date
- April 15, 2008
- Last Update Date
- April 15, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 399 Hoover Ave
Suite 1
Bloomfield, NJ 07003 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003
- Phone Number
- 973-566-6161
- Fax Number
- 973-566-0866
Provider Business Mailing Address Details
- Address
- 399 Hoover Ave
Suite 1
Bloomfield, NJ 07003 - City
- Bloomfield
- State
- NJ
- Zip
- 07003
- Phone Number
- 973-566-6161
- Fax Number
- 973-566-0866
License Information
- License Number
- D1020914
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Anthony G Devincentis, DMDDentist, General Practice · NPI 1548463680
- Dr. Anthony V Parrillo, DDSDentist, General Practice · NPI 1467626721
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Frequently Asked Questions
What is the NPI number of Brookside Family Dental Corp?
The NPI number of Brookside Family Dental Corp is 1053585612. It was assigned on April 15, 2008 and is currently active in the NPPES registry.
What is the specialty of Brookside Family Dental Corp?
Brookside Family Dental Corp is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number D1020914.
Where does Brookside Family Dental Corp practice?
The practice location is 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003. The office can be reached at 973-566-6161 (phone) or 973-566-0866 (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 1053585612 directly on the NPPES registry website.