Edward Dominguez, DMD
Dentist in Rutherford, New Jersey
1134579162- Practice location
- 201 Route 17, 12TH Floor, Rutherford, NJ 07070-2574
- Phone
- 201-549-8827
- Fax
- —
- Last updated
- June 21, 2016
Edward Dominguez is a Dentist based in Rutherford, NJ. Edward Dominguez practices in Rutherford, NJ and has the professional credentials of DMD. The NPI Number for Edward Dominguez is 1134579162 and holds a License No. 22DI02642300 (NJ). The current practice location address for Edward Dominguez is 201 Route 17, 12TH Floor, Rutherford, NJ 07070-2574 and can be reached out via phone at 201-549-8827.
Provider Profile Details
- NPI Number
- 1134579162
- Provider Name
- Edward Dominguez
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 201 Route 17, 12TH Floor, Rutherford, NJ 07070-2574
- Phone Number
- 201-549-8827
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2016
- Last Update Date
- June 21, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Route 17
12TH Floor
Rutherford, NJ 07070-2574 - City
- Rutherford
- State
- New Jersey
- Zip
- 07070-2574
- Phone Number
- 201-549-8827
Provider Business Mailing Address Details
- Address
- 201 Route 17
12TH Floor
Rutherford, NJ 07070-2574 - City
- Rutherford
- State
- NJ
- Zip
- 07070-2574
- Phone Number
- 201-549-8827
License Information
- License Number
- 22DI02642300
- 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 Rutherford, NJ
View all Dentists in Rutherford →Frequently Asked Questions
What is the NPI number of Edward Dominguez, DMD?
The NPI number of Edward Dominguez, DMD is 1134579162. It was assigned on June 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Edward Dominguez, DMD?
Edward Dominguez, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02642300.
Where does Edward Dominguez, DMD practice?
The practice location is 201 Route 17, 12TH Floor, Rutherford, NJ 07070-2574. The office can be reached at 201-549-8827 (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 1134579162 directly on the NPPES registry website.