Active NPIIndividual providerSole proprietor

Dr. Meenakshi Jetley, DMD

Dentist, General Practice in West Orange, New Jersey

NPI Number1174852644
Practice location
405 Northfield Ave, Suite #ll4, West Orange, NJ 07052-3023
Fax
973-618-1558
Last updated
December 10, 2010

Meenakshi Jetley is a Dentist, General Practice based in West Orange, NJ. Meenakshi Jetley practices in West Orange, NJ and has the professional credentials of DMD. The NPI Number for Meenakshi Jetley is 1174852644 and holds a License No. 22DIO2422700 (NJ). The current practice location address for Meenakshi Jetley is 405 Northfield Ave, Suite #ll4, West Orange, NJ 07052-3023 and can be reached out via phone at 862-245-2170 and via fax at 973-618-1558.

Provider Profile Details

NPI Number
1174852644
Provider Name
Meenakshi Jetley
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
405 Northfield Ave, Suite #ll4, West Orange, NJ 07052-3023
Phone Number
862-245-2170
Fax Number
973-618-1558
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2009
Last Update Date
December 10, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
405 Northfield Ave
Suite #ll4
West Orange, NJ 07052-3023
Zip
07052-3023
Phone Number
862-245-2170
Fax Number
973-618-1558
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
405 Northfield Ave
Suite #ll4
West Orange, NJ 07052-3026
City
West Orange
State
NJ
Zip
07052-3026
Phone Number
862-245-2170
Fax Number
973-618-1558

License Information

License Number
22DIO2422700
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 Dr. Meenakshi Jetley, DMD?

The NPI number of Dr. Meenakshi Jetley, DMD is 1174852644. It was assigned on December 13, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Meenakshi Jetley, DMD?

Dr. Meenakshi Jetley, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DIO2422700.

Where does Dr. Meenakshi Jetley, DMD practice?

The practice location is 405 Northfield Ave, Suite #ll4, West Orange, NJ 07052-3023. The office can be reached at 862-245-2170 (phone) or 973-618-1558 (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 1174852644 directly on the NPPES registry website.

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