Active NPIOrganization

Mobile Dental Practice, PC

Dentist, General Practice in Wyckoff, New Jersey

NPI Number1235311028
Practice location
800 Wyckoff Ave, Suite 103, Wyckoff, NJ 07481-1525
Fax
201-891-4943
Last updated
December 3, 2007

Mobile Dental Practice, PC is a healthcare organization based in Wyckoff, NJ. Mobile Dental Practice, PC practices in Wyckoff, NJ. The NPI Number for Mobile Dental Practice, PC is 1235311028 and holds a License No. DI018346 (NJ). The current practice location address for Mobile Dental Practice, PC is 800 Wyckoff Ave, Suite 103, Wyckoff, NJ 07481-1525 and can be reached out via phone at 201-891-4700 and via fax at 201-891-4943.

Provider Profile Details

NPI Number
1235311028
Provider Name
Mobile Dental Practice, PC
Provider Entity Type
Organization
Address
800 Wyckoff Ave, Suite 103, Wyckoff, NJ 07481-1525
Phone Number
201-891-4700
Fax Number
201-891-4943
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Stephen A Beukas, DMD · President · 201-891-4700
Provider Enumeration Date
December 3, 2007
Last Update Date
December 3, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Wyckoff Ave
Suite 103
Wyckoff, NJ 07481-1525
Zip
07481-1525
Phone Number
201-891-4700
Fax Number
201-891-4943
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
800 Wyckoff Ave
Suite 103
Wyckoff, NJ 07481-1525
City
Wyckoff
State
NJ
Zip
07481-1525
Phone Number
201-891-4700
Fax Number
201-891-4943

License Information

License Number
DI018346
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 Mobile Dental Practice, PC?

The NPI number of Mobile Dental Practice, PC is 1235311028. It was assigned on December 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Mobile Dental Practice, PC?

Mobile Dental Practice, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI018346.

Where does Mobile Dental Practice, PC practice?

The practice location is 800 Wyckoff Ave, Suite 103, Wyckoff, NJ 07481-1525. The office can be reached at 201-891-4700 (phone) or 201-891-4943 (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 1235311028 directly on the NPPES registry website.

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