Active NPIIndividual providerSole proprietor

Dr. Marlen Dominguez, DDS

Dentist in West New York, New Jersey

NPI Number1245451368
Practice location
6050 Kennedy Blvd E, Suite Lf, West New York, NJ 07093-3901
Fax
201-453-2233
Last updated
July 8, 2007

Marlen Dominguez is a Dentist based in West New York, NJ. Marlen Dominguez practices in West New York, NJ and has the professional credentials of DDS. The NPI Number for Marlen Dominguez is 1245451368 and holds a License No. 22DI01957900 (NJ). The current practice location address for Marlen Dominguez is 6050 Kennedy Blvd E, Suite Lf, West New York, NJ 07093-3901 and can be reached out via phone at 201-453-2300 and via fax at 201-453-2233.

Provider Profile Details

NPI Number
1245451368
Provider Name
Marlen Dominguez
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
6050 Kennedy Blvd E, Suite Lf, West New York, NJ 07093-3901
Phone Number
201-453-2300
Fax Number
201-453-2233
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
6050 Kennedy Blvd E
Suite Lf
West New York, NJ 07093-3901
Zip
07093-3901
Phone Number
201-453-2300
Fax Number
201-453-2233
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
6050 Kennedy Blvd E
Suite Lf
West New York, NJ 07093-3901
City
West New York
State
NJ
Zip
07093-3901
Phone Number
201-453-2300
Fax Number
201-453-2233

License Information

License Number
22DI01957900
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 Dr. Marlen Dominguez, DDS?

The NPI number of Dr. Marlen Dominguez, DDS is 1245451368. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Marlen Dominguez, DDS?

Dr. Marlen Dominguez, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01957900.

Where does Dr. Marlen Dominguez, DDS practice?

The practice location is 6050 Kennedy Blvd E, Suite Lf, West New York, NJ 07093-3901. The office can be reached at 201-453-2300 (phone) or 201-453-2233 (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 1245451368 directly on the NPPES registry website.

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