- Practice location
- 318 21ST Ave, Paterson, NJ 07501-3538
- Phone
- 973-742-1991
- Fax
- —
- Last updated
- November 1, 2011
21ST Ave Dental LLC is a healthcare organization based in Paterson, NJ. 21ST Ave Dental LLC practices in Paterson, NJ. The NPI Number for 21ST Ave Dental LLC is 1114203387 and holds a License No. 14409 (NJ). The current practice location address for 21ST Ave Dental LLC is 318 21ST Ave, Paterson, NJ 07501-3538 and can be reached out via phone at 973-742-1991.
Provider Profile Details
- NPI Number
- 1114203387
- Provider Name
- 21ST Ave Dental LLC
- Provider Entity Type
- Organization
- Address
- 318 21ST Ave, Paterson, NJ 07501-3538
- Phone Number
- 973-742-1991
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Patrick E Ryan, DMD · Owner · 973-742-1991
- Provider Enumeration Date
- November 1, 2011
- Last Update Date
- November 1, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 318 21ST Ave
Paterson, NJ 07501-3538 - City
- Paterson
- State
- New Jersey
- Zip
- 07501-3538
- Phone Number
- 973-742-1991
Provider Business Mailing Address Details
- Address
- 318 21ST Ave
Paterson, NJ 07501-3538 - City
- Paterson
- State
- NJ
- Zip
- 07501-3538
- Phone Number
- 973-742-1991
License Information
- License Number
- 14409
- 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 Paterson, NJ
View all Dentists in Paterson →Frequently Asked Questions
What is the NPI number of 21ST Ave Dental LLC?
The NPI number of 21ST Ave Dental LLC is 1114203387. It was assigned on November 1, 2011 and is currently active in the NPPES registry.
What is the specialty of 21ST Ave Dental LLC?
21ST Ave Dental LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 14409.
Where does 21ST Ave Dental LLC practice?
The practice location is 318 21ST Ave, Paterson, NJ 07501-3538. The office can be reached at 973-742-1991 (phone).
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 1114203387 directly on the NPPES registry website.