Active NPIIndividual provider

Nicki L Childress-Grubb, DMD

Dentist, General Practice in Pompton Lakes, New Jersey

NPI Number1184741829
Practice location
825 Ringwood Ave, Pompton Lakes, NJ 07442-2215
Fax
—
Last updated
July 8, 2007

Nicki L Childress-Grubb is a Dentist, General Practice based in Pompton Lakes, NJ. Nicki L Childress-Grubb practices in Pompton Lakes, NJ and has the professional credentials of DMD. The NPI Number for Nicki L Childress-Grubb is 1184741829 and holds a License No. 20477 (NJ). The current practice location address for Nicki L Childress-Grubb is 825 Ringwood Ave, Pompton Lakes, NJ 07442-2215 and can be reached out via phone at 973-831-8950.

Provider Profile Details

NPI Number
1184741829
Provider Name
Nicki L Childress-Grubb
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
825 Ringwood Ave, Pompton Lakes, NJ 07442-2215
Phone Number
973-831-8950
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Ringwood Ave
Pompton Lakes, NJ 07442-2215
Zip
07442-2215
Phone Number
973-831-8950
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
825 Ringwood Ave
Pompton Lakes, NJ 07442-2215
City
Pompton Lakes
State
NJ
Zip
07442-2215
Phone Number
973-831-8950

License Information

License Number
20477
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 Nicki L Childress-Grubb, DMD?

The NPI number of Nicki L Childress-Grubb, DMD is 1184741829. It was assigned on March 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Nicki L Childress-Grubb, DMD?

Nicki L Childress-Grubb, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 20477.

Where does Nicki L Childress-Grubb, DMD practice?

The practice location is 825 Ringwood Ave, Pompton Lakes, NJ 07442-2215. The office can be reached at 973-831-8950 (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 1184741829 directly on the NPPES registry website.

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