Active NPIIndividual providerSole proprietor

Dr. Alan Valderrama, DMD

Dentist, General Practice in Kendall Park, New Jersey

NPI Number1104175595
Practice location
3538 State Route 27, Kendall Park, NJ 08824-1050
Fax
732-821-1055
Last updated
March 17, 2018

Alan Valderrama is a Dentist, General Practice based in Kendall Park, NJ. Alan Valderrama practices in Kendall Park, NJ and has the professional credentials of DMD. The NPI Number for Alan Valderrama is 1104175595 and holds a License No. 22DI02502200 (NJ). The current practice location address for Alan Valderrama is 3538 State Route 27, Kendall Park, NJ 08824-1050 and can be reached out via phone at 732-821-8585 and via fax at 732-821-1055.

Provider Profile Details

NPI Number
1104175595
Provider Name
Alan Valderrama
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3538 State Route 27, Kendall Park, NJ 08824-1050
Phone Number
732-821-8585
Fax Number
732-821-1055
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2012
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3538 State Route 27
Kendall Park, NJ 08824-1050
Zip
08824-1050
Phone Number
732-821-8585
Fax Number
732-821-1055
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
3538 State Route 27
Kendall Park, NJ 08824
City
Kendall Park
State
NJ
Zip
08824
Phone Number
732-821-8585

License Information

License Number (1)
22DI02502200
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02502200
License State (2)
NJ
Taxonomy (2)
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 Dr. Alan Valderrama, DMD?

The NPI number of Dr. Alan Valderrama, DMD is 1104175595. It was assigned on August 31, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Alan Valderrama, DMD?

Dr. Alan Valderrama, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02502200.

Where does Dr. Alan Valderrama, DMD practice?

The practice location is 3538 State Route 27, Kendall Park, NJ 08824-1050. The office can be reached at 732-821-8585 (phone) or 732-821-1055 (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 1104175595 directly on the NPPES registry website.

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