Active NPIIndividual providerSole proprietor

Dr. Jorge L Delvalle, DMD

Dentist, General Practice in West New York, New Jersey

NPI Number1205116175
Practice location
25 Ave At Port Imperial, Apt. 621, West New York, NJ 07093-8350
Fax
—
Last updated
August 24, 2011

Jorge L Delvalle is a Dentist, General Practice based in West New York, NJ. Jorge L Delvalle practices in West New York, NJ and has the professional credentials of DMD. The NPI Number for Jorge L Delvalle is 1205116175 and holds a License No. 22DI02479400 (NJ). The current practice location address for Jorge L Delvalle is 25 Ave At Port Imperial, Apt. 621, West New York, NJ 07093-8350 and can be reached out via phone at 201-803-6647.

Provider Profile Details

NPI Number
1205116175
Provider Name
Jorge L Delvalle
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
25 Ave At Port Imperial, Apt. 621, West New York, NJ 07093-8350
Phone Number
201-803-6647
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2011
Last Update Date
August 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Ave At Port Imperial
Apt. 621
West New York, NJ 07093-8350
Zip
07093-8350
Phone Number
201-803-6647
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
25 Ave At Port Imperial
Apt. 621
West New York, NJ 07093-8350
City
West New York
State
NJ
Zip
07093-8350
Phone Number
201-803-6647

License Information

License Number
22DI02479400
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. Jorge L Delvalle, DMD?

The NPI number of Dr. Jorge L Delvalle, DMD is 1205116175. It was assigned on August 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jorge L Delvalle, DMD?

Dr. Jorge L Delvalle, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02479400.

Where does Dr. Jorge L Delvalle, DMD practice?

The practice location is 25 Ave At Port Imperial, Apt. 621, West New York, NJ 07093-8350. The office can be reached at 201-803-6647 (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 1205116175 directly on the NPPES registry website.

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