- Practice location
- 81 Broadway, Newark, NJ 07104-3801
- Phone
- 862-237-7810
- Fax
- 862-237-7807
- Last updated
- January 19, 2016
23 Branford Place Dental is a healthcare organization based in Newark, NJ. 23 Branford Place Dental practices in Newark, NJ. The NPI Number for 23 Branford Place Dental is 1053656975 and holds a License No. 22DI01972300 (NJ). The current practice location address for 23 Branford Place Dental is 81 Broadway, Newark, NJ 07104-3801 and can be reached out via phone at 862-237-7810 and via fax at 862-237-7807.
Provider Profile Details
- NPI Number
- 1053656975
- Provider Name
- 23 Branford Place Dental
- Provider Entity Type
- Organization
- Address
- 81 Broadway, Newark, NJ 07104-3801
- Phone Number
- 862-237-7810
- Fax Number
- 862-237-7807
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Sheryl Gomes, DMD · Dentist · 862-237-7810
- Provider Enumeration Date
- December 4, 2012
- Last Update Date
- January 19, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Broadway
Newark, NJ 07104-3801 - City
- Newark
- State
- New Jersey
- Zip
- 07104-3801
- Phone Number
- 862-237-7810
- Fax Number
- 862-237-7807
Provider Business Mailing Address Details
- Address
- 81 Broadway
Newark, NJ 07104-3801 - City
- Newark
- State
- NJ
- Zip
- 07104-3801
- Phone Number
- 862-237-7810
- Fax Number
- 862-237-7807
License Information
- License Number
- 22DI01972300
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Newark, NJ
View all Dentists in Newark →Frequently Asked Questions
What is the NPI number of 23 Branford Place Dental?
The NPI number of 23 Branford Place Dental is 1053656975. It was assigned on December 4, 2012 and is currently active in the NPPES registry.
What is the specialty of 23 Branford Place Dental?
23 Branford Place Dental is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01972300.
Where does 23 Branford Place Dental practice?
The practice location is 81 Broadway, Newark, NJ 07104-3801. The office can be reached at 862-237-7810 (phone) or 862-237-7807 (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 1053656975 directly on the NPPES registry website.