Active NPIOrganization

Advanced Oral Rehabilitaion

Dentist, General Practice in Newark Nj, New Jersey

NPI Number1164781746
Practice location
23 Branford Place, Newark Nj, NJ 07105
Fax
973-424-0089
Last updated
May 16, 2012

Advanced Oral Rehabilitaion is a healthcare organization based in Newark Nj, NJ. Advanced Oral Rehabilitaion practices in Newark Nj, NJ. The NPI Number for Advanced Oral Rehabilitaion is 1164781746 and holds a License No. 22DI02324700 (NJ). The current practice location address for Advanced Oral Rehabilitaion is 23 Branford Place, Newark Nj, NJ 07105 and can be reached out via phone at 973-424-0040 and via fax at 973-424-0089.

Provider Profile Details

NPI Number
1164781746
Provider Name
Advanced Oral Rehabilitaion
Provider Entity Type
Organization
Address
23 Branford Place, Newark Nj, NJ 07105
Phone Number
973-424-0040
Fax Number
973-424-0089
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Woo Il Steven Park, DDS · Dentist · 973-424-0040
Other Names
Branford Dental Center (Doing Business As)
Provider Enumeration Date
May 16, 2012
Last Update Date
May 16, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Branford Place
Newark Nj, NJ 07105
Zip
07105
Phone Number
973-424-0040
Fax Number
973-424-0089
Newark Nj, NJ 07105Get directions →

Provider Business Mailing Address Details

Address
23 Branford Place
Newark Nj, NJ 07105
City
Newark Nj
State
NJ
Zip
07105
Phone Number
973-424-0040
Fax Number
973-424-0089

License Information

License Number
22DI02324700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Advanced Oral Rehabilitaion?

The NPI number of Advanced Oral Rehabilitaion is 1164781746. It was assigned on May 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Advanced Oral Rehabilitaion?

Advanced Oral Rehabilitaion is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02324700.

Where does Advanced Oral Rehabilitaion practice?

The practice location is 23 Branford Place, Newark Nj, NJ 07105. The office can be reached at 973-424-0040 (phone) or 973-424-0089 (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 1164781746 directly on the NPPES registry website.

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