Active NPIOrganization

Prime Dental Care LLC

Dentist in Montgomery, New Jersey

NPI Number1164865002
Practice location
77 Tamarack Circle, Montgomery, NJ 08558-1201
Fax
609-454-6116
Last updated
March 19, 2024

Prime Dental Care LLC is a healthcare organization based in Montgomery, NJ. Prime Dental Care LLC practices in Montgomery, NJ. The NPI Number for Prime Dental Care LLC is 1164865002 and holds a License No. 22DI02446500 (NJ). The current practice location address for Prime Dental Care LLC is 77 Tamarack Circle, Montgomery, NJ 08558-1201 and can be reached out via phone at 609-688-8818 and via fax at 609-454-6116.

Provider Profile Details

NPI Number
1164865002
Provider Name
Prime Dental Care LLC
Provider Entity Type
Organization
Address
77 Tamarack Circle, Montgomery, NJ 08558-1201
Phone Number
609-688-8818
Fax Number
609-454-6116
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Guojun Ma, DDS PHD · Owner · 609-688-8818
Provider Enumeration Date
April 10, 2013
Last Update Date
March 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Tamarack Circle
Montgomery, NJ 08558-1201
Zip
08558-1201
Phone Number
609-688-8818
Fax Number
609-454-6116
Montgomery, NJ 08558Get directions →

Provider Business Mailing Address Details

Address
77 Tamarack Circle
Montgomery, NJ 08558-1201
City
Montgomery
State
NJ
Zip
08558-1201
Phone Number
609-688-8818
Fax Number
609-454-6116

License Information

License Number
22DI02446500
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 Prime Dental Care LLC?

The NPI number of Prime Dental Care LLC is 1164865002. It was assigned on April 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Prime Dental Care LLC?

Prime Dental Care LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02446500.

Where does Prime Dental Care LLC practice?

The practice location is 77 Tamarack Circle, Montgomery, NJ 08558-1201. The office can be reached at 609-688-8818 (phone) or 609-454-6116 (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 1164865002 directly on the NPPES registry website.

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