- Practice location
- 163 Washington Valley RD Ste 106, Washington Valley Office Park, Warren, NJ 07059-7181
- Phone
- 732-560-5988
- Fax
- 732-563-6999
- Last updated
- June 9, 2008
Herawati T Kandou DDS PA is a healthcare organization based in Warren, NJ. Herawati T Kandou DDS PA practices in Warren, NJ. The NPI Number for Herawati T Kandou DDS PA is 1245499847 and holds a License No. 3026 (NJ). The current practice location address for Herawati T Kandou DDS PA is 163 Washington Valley RD Ste 106, Washington Valley Office Park, Warren, NJ 07059-7181 and can be reached out via phone at 732-560-5988 and via fax at 732-563-6999.
Provider Profile Details
- NPI Number
- 1245499847
- Provider Name
- Herawati T Kandou DDS PA
- Provider Entity Type
- Organization
- Address
- 163 Washington Valley RD Ste 106, Washington Valley Office Park, Warren, NJ 07059-7181
- Phone Number
- 732-560-5988
- Fax Number
- 732-563-6999
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- Yes
- Parent Organization
- Herawati T Kandou DDS PA
- Authorized Official
- Dr. Herawati T Kandou, DDS · President Orthodontist · 732-560-5988
- Provider Enumeration Date
- June 9, 2008
- Last Update Date
- June 9, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Washington Valley RD Ste 106
Washington Valley Office Park
Warren, NJ 07059-7181 - City
- Warren
- State
- New Jersey
- Zip
- 07059-7181
- Phone Number
- 732-560-5988
- Fax Number
- 732-563-6999
Provider Business Mailing Address Details
- Address
- 163 Washington Valley RD Ste 106
Washington Valley Office Park
Warren, NJ 07059-7181 - City
- Warren
- State
- NJ
- Zip
- 07059-7181
- Phone Number
- 732-560-5988
- Fax Number
- 732-563-6999
License Information
- License Number (1)
- 3026
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (2)
- 9708
- License State (2)
- NJ
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Warren, NJ
View all Dentists in Warren →Frequently Asked Questions
What is the NPI number of Herawati T Kandou DDS PA?
The NPI number of Herawati T Kandou DDS PA is 1245499847. It was assigned on June 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Herawati T Kandou DDS PA?
Herawati T Kandou DDS PA is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 3026.
Where does Herawati T Kandou DDS PA practice?
The practice location is 163 Washington Valley RD Ste 106, Washington Valley Office Park, Warren, NJ 07059-7181. The office can be reached at 732-560-5988 (phone) or 732-563-6999 (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 1245499847 directly on the NPPES registry website.