Active NPIIndividual providerSole proprietor

Dr. Lara Dalessio, DMD

Dentist in Clifton, New Jersey

NPI Number1164688057
Practice location
521 Van Houten Ave, Clifton, NJ 07013-2190
Fax
973-949-4523
Last updated
July 31, 2008

Lara Dalessio is a Dentist based in Clifton, NJ. Lara Dalessio practices in Clifton, NJ and has the professional credentials of DMD. The NPI Number for Lara Dalessio is 1164688057 and holds a License No. 22D102381700 (NJ). The current practice location address for Lara Dalessio is 521 Van Houten Ave, Clifton, NJ 07013-2190 and can be reached out via phone at 973-949-4523 and via fax at 973-949-4523.

Provider Profile Details

NPI Number
1164688057
Provider Name
Lara Dalessio
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
521 Van Houten Ave, Clifton, NJ 07013-2190
Phone Number
973-949-4523
Fax Number
973-949-4523
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2008
Last Update Date
July 31, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
521 Van Houten Ave
Clifton, NJ 07013-2190
Zip
07013-2190
Phone Number
973-949-4523
Fax Number
973-949-4523
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
112 Tuxedo Ave
Hawthorne, NJ 07506-2644
City
Hawthorne
State
NJ
Zip
07506-2644
Phone Number
973-777-0848
Fax Number
973-777-0898

License Information

License Number
22D102381700
License State
NJ
Taxonomy
Dentist · 122300000X · 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. Lara Dalessio, DMD?

The NPI number of Dr. Lara Dalessio, DMD is 1164688057. It was assigned on July 31, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Lara Dalessio, DMD?

Dr. Lara Dalessio, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D102381700.

Where does Dr. Lara Dalessio, DMD practice?

The practice location is 521 Van Houten Ave, Clifton, NJ 07013-2190. The office can be reached at 973-949-4523 (phone) or 973-949-4523 (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 1164688057 directly on the NPPES registry website.

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