Active NPIOrganization

Mir Dental INC.

Clinic/Center, Dental in Thorofare, New Jersey

NPI Number1114072246
Practice location
800 Jessup RD, Suite 805, Thorofare, NJ 08086-9354
Fax
856-845-5342
Last updated
August 22, 2020

Mir Dental INC. is a healthcare organization based in Thorofare, NJ. Mir Dental INC. practices in Thorofare, NJ. The NPI Number for Mir Dental INC. is 1114072246 and holds a License No. 22DI01654300 (NJ). The current practice location address for Mir Dental INC. is 800 Jessup RD, Suite 805, Thorofare, NJ 08086-9354 and can be reached out via phone at 856-845-4390 and via fax at 856-845-5342.

Provider Profile Details

NPI Number
1114072246
Provider Name
Mir Dental INC.
Provider Entity Type
Organization
Address
800 Jessup RD, Suite 805, Thorofare, NJ 08086-9354
Phone Number
856-845-4390
Fax Number
856-845-5342
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Michael Irwin Rouff, DMD · Owner · 856-845-4390
Provider Enumeration Date
January 25, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Jessup RD
Suite 805
Thorofare, NJ 08086-9354
Zip
08086-9354
Phone Number
856-845-4390
Fax Number
856-845-5342
Thorofare, NJ 08086Get directions →

Provider Business Mailing Address Details

Address
800 Jessup RD
Suite 805
Thorofare, NJ 08086-9354
City
Thorofare
State
NJ
Zip
08086-9354
Phone Number
856-845-4390
Fax Number
856-845-5342

License Information

License Number
22DI01654300
License State
NJ
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Mir Dental INC.?

The NPI number of Mir Dental INC. is 1114072246. It was assigned on January 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Mir Dental INC.?

Mir Dental INC. is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in NJ under license number 22DI01654300.

Where does Mir Dental INC. practice?

The practice location is 800 Jessup RD, Suite 805, Thorofare, NJ 08086-9354. The office can be reached at 856-845-4390 (phone) or 856-845-5342 (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 1114072246 directly on the NPPES registry website.

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