- Practice location
- 75 Chestnut St, Ridgewood, NJ 07450-2501
- Phone
- 201-445-4808
- Fax
- 201-445-9081
- Last updated
- August 22, 2020
Ridgewood Dentistry, LLC is a healthcare organization based in Ridgewood, NJ. Ridgewood Dentistry, LLC practices in Ridgewood, NJ. The NPI Number for Ridgewood Dentistry, LLC is 1093922700 and holds a License No. 22DI01155300 (NJ). The current practice location address for Ridgewood Dentistry, LLC is 75 Chestnut St, Ridgewood, NJ 07450-2501 and can be reached out via phone at 201-445-4808 and via fax at 201-445-9081.
Provider Profile Details
- NPI Number
- 1093922700
- Provider Name
- Ridgewood Dentistry, LLC
- Provider Entity Type
- Organization
- Address
- 75 Chestnut St, Ridgewood, NJ 07450-2501
- Phone Number
- 201-445-4808
- Fax Number
- 201-445-9081
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Glenn P Godart, DMD · Owner · 201-445-4808
- Other Names
- Glenn P Godart (Doing Business As)
- Provider Enumeration Date
- May 16, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Chestnut St
Ridgewood, NJ 07450-2501 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-2501
- Phone Number
- 201-445-4808
- Fax Number
- 201-445-9081
Provider Business Mailing Address Details
- Address
- 75 Chestnut St
Ridgewood, NJ 07450-2501 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-2501
- Phone Number
- 201-445-4808
- Fax Number
- 201-445-9081
License Information
- License Number
- 22DI01155300
- 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 Ridgewood, NJ
View all Dentists in Ridgewood →Frequently Asked Questions
What is the NPI number of Ridgewood Dentistry, LLC?
The NPI number of Ridgewood Dentistry, LLC is 1093922700. It was assigned on May 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Ridgewood Dentistry, LLC?
Ridgewood Dentistry, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01155300.
Where does Ridgewood Dentistry, LLC practice?
The practice location is 75 Chestnut St, Ridgewood, NJ 07450-2501. The office can be reached at 201-445-4808 (phone) or 201-445-9081 (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 1093922700 directly on the NPPES registry website.