Active NPIOrganization

Abc Pediatric Dental Care, P.c.

Dentist, Pediatric Dentistry in Fort Lee, New Jersey

NPI Number1124112958
Practice location
810 Abbott Blvd Ste 303, Fort Lee, NJ 07024-4116
Fax
201-224-9969
Last updated
August 22, 2020

Abc Pediatric Dental Care, P.c. is a healthcare organization based in Fort Lee, NJ. Abc Pediatric Dental Care, P.c. practices in Fort Lee, NJ. The NPI Number for Abc Pediatric Dental Care, P.c. is 1124112958 and holds a License No. DI020279 (NJ). The current practice location address for Abc Pediatric Dental Care, P.c. is 810 Abbott Blvd Ste 303, Fort Lee, NJ 07024-4116 and can be reached out via phone at 201-224-9968 and via fax at 201-224-9969.

Provider Profile Details

NPI Number
1124112958
Provider Name
Abc Pediatric Dental Care, P.c.
Provider Entity Type
Organization
Address
810 Abbott Blvd Ste 303, Fort Lee, NJ 07024-4116
Phone Number
201-224-9968
Fax Number
201-224-9969
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Maria K Shin · President/Pediatric Dentist · 201-224-9968
Provider Enumeration Date
October 3, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
810 Abbott Blvd Ste 303
Fort Lee, NJ 07024-4116
Zip
07024-4116
Phone Number
201-224-9968
Fax Number
201-224-9969
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
810 Abbott Blvd Ste 303
Fort Lee, NJ 07024-4116
City
Fort Lee
State
NJ
Zip
07024-4116
Phone Number
201-224-9968
Fax Number
201-224-9969

License Information

License Number
DI020279
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Abc Pediatric Dental Care, P.c.?

The NPI number of Abc Pediatric Dental Care, P.c. is 1124112958. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Abc Pediatric Dental Care, P.c.?

Abc Pediatric Dental Care, P.c. is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number DI020279.

Where does Abc Pediatric Dental Care, P.c. practice?

The practice location is 810 Abbott Blvd Ste 303, Fort Lee, NJ 07024-4116. The office can be reached at 201-224-9968 (phone) or 201-224-9969 (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 1124112958 directly on the NPPES registry website.

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