Active NPIOrganization

Creating Smiles Family Dental

Dentist, General Practice in Bloomfield, New Jersey

NPI Number1063867117
Practice location
1025 Broad St, Ste 3, Bloomfield, NJ 07003-2844
Fax
—
Last updated
April 26, 2016

Creating Smiles Family Dental is a healthcare organization based in Bloomfield, NJ. Creating Smiles Family Dental practices in Bloomfield, NJ. The NPI Number for Creating Smiles Family Dental is 1063867117 and holds a License No. 053693-1 (NY). The current practice location address for Creating Smiles Family Dental is 1025 Broad St, Ste 3, Bloomfield, NJ 07003-2844 and can be reached out via phone at 973-338-1100.

Provider Profile Details

NPI Number
1063867117
Provider Name
Creating Smiles Family Dental
Provider Entity Type
Organization
Address
1025 Broad St, Ste 3, Bloomfield, NJ 07003-2844
Phone Number
973-338-1100
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Elizabeth Sandoval · Owner · 973-338-1100
Provider Enumeration Date
April 26, 2016
Last Update Date
April 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1025 Broad St
Ste 3
Bloomfield, NJ 07003-2844
Zip
07003-2844
Phone Number
973-338-1100
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1025 Broad St
Ste 3
Bloomfield, NJ 07003-2844
City
Bloomfield
State
NJ
Zip
07003-2844
Phone Number
973-338-1100

License Information

License Number
053693-1
License State
NY
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 Creating Smiles Family Dental?

The NPI number of Creating Smiles Family Dental is 1063867117. It was assigned on April 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Creating Smiles Family Dental?

Creating Smiles Family Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 053693-1.

Where does Creating Smiles Family Dental practice?

The practice location is 1025 Broad St, Ste 3, Bloomfield, NJ 07003-2844. The office can be reached at 973-338-1100 (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 1063867117 directly on the NPPES registry website.

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