- Practice location
- 11 Kiel Ave, Kinnelon, NJ 07405-2549
- Phone
- 973-838-5585
- Fax
- 973-838-6258
- Last updated
- August 22, 2020
Kinnelon Dental Group is a healthcare organization based in Kinnelon, NJ. Kinnelon Dental Group practices in Kinnelon, NJ. The NPI Number for Kinnelon Dental Group is 1073671392 and holds a License No. DI02262300 (NJ). The current practice location address for Kinnelon Dental Group is 11 Kiel Ave, Kinnelon, NJ 07405-2549 and can be reached out via phone at 973-838-5585 and via fax at 973-838-6258.
Provider Profile Details
- NPI Number
- 1073671392
- Provider Name
- Kinnelon Dental Group
- Provider Entity Type
- Organization
- Address
- 11 Kiel Ave, Kinnelon, NJ 07405-2549
- Phone Number
- 973-838-5585
- Fax Number
- 973-838-6258
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jessica Lee Logan, DMD · Employee · 973-838-5585
- Provider Enumeration Date
- December 6, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Kiel Ave
Kinnelon, NJ 07405-2549 - City
- Kinnelon
- State
- New Jersey
- Zip
- 07405-2549
- Phone Number
- 973-838-5585
- Fax Number
- 973-838-6258
Provider Business Mailing Address Details
- Address
- 11 Kiel Ave
Kinnelon, NJ 07405-2549 - City
- Kinnelon
- State
- NJ
- Zip
- 07405-2549
- Phone Number
- 973-838-5585
- Fax Number
- 973-838-6258
License Information
- License Number
- DI02262300
- 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 Kinnelon, NJ
View all Dentists in Kinnelon →Frequently Asked Questions
What is the NPI number of Kinnelon Dental Group?
The NPI number of Kinnelon Dental Group is 1073671392. It was assigned on December 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Kinnelon Dental Group?
Kinnelon Dental Group is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI02262300.
Where does Kinnelon Dental Group practice?
The practice location is 11 Kiel Ave, Kinnelon, NJ 07405-2549. The office can be reached at 973-838-5585 (phone) or 973-838-6258 (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 1073671392 directly on the NPPES registry website.