Active NPIOrganization

Midcounty Endodontic Group PA

Dentist, Endodontics in Ridgewood, New Jersey

NPI Number1093831810
Practice location
60 W Ridgewood Ave, Ridgewood, NJ 07450-3197
Fax
201-652-1893
Last updated
July 23, 2008

Midcounty Endodontic Group PA is a healthcare organization based in Ridgewood, NJ. Midcounty Endodontic Group PA practices in Ridgewood, NJ. The NPI Number for Midcounty Endodontic Group PA is 1093831810 and holds a License No. DI 17507 (NJ). The current practice location address for Midcounty Endodontic Group PA is 60 W Ridgewood Ave, Ridgewood, NJ 07450-3197 and can be reached out via phone at 201-652-3311 and via fax at 201-652-1893.

Provider Profile Details

NPI Number
1093831810
Provider Name
Midcounty Endodontic Group PA
Provider Entity Type
Organization
Address
60 W Ridgewood Ave, Ridgewood, NJ 07450-3197
Phone Number
201-652-3311
Fax Number
201-652-1893
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Organization Subpart
No
Authorized Official
Dr. Young Jin Hahn, DMD · DMD · 201-652-3311
Provider Enumeration Date
March 22, 2007
Last Update Date
July 23, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 W Ridgewood Ave
Ridgewood, NJ 07450-3197
Zip
07450-3197
Phone Number
201-652-3311
Fax Number
201-652-1893
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
60 W Ridgewood Ave
Ridgewood, NJ 07450-3197
City
Ridgewood
State
NJ
Zip
07450-3197
Phone Number
201-652-3311
Fax Number
201-652-1893

License Information

License Number
DI 17507
License State
NJ
Taxonomy
Dentist, Endodontics · 1223E0200X · 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 Midcounty Endodontic Group PA?

The NPI number of Midcounty Endodontic Group PA is 1093831810. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Midcounty Endodontic Group PA?

Midcounty Endodontic Group PA is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NJ under license number DI 17507.

Where does Midcounty Endodontic Group PA practice?

The practice location is 60 W Ridgewood Ave, Ridgewood, NJ 07450-3197. The office can be reached at 201-652-3311 (phone) or 201-652-1893 (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 1093831810 directly on the NPPES registry website.

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