Dr. David Jin, DDS
Dentist in Fort Lee, New Jersey
1255334165- Practice location
- 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732
- Phone
- 201-224-4400
- Fax
- 201-224-4418
- Last updated
- October 23, 2022
David Jin is a Dentist based in Fort Lee, NJ. David Jin practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for David Jin is 1255334165 and holds a License No. 047558-1 (NY). The current practice location address for David Jin is 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732 and can be reached out via phone at 201-224-4400 and via fax at 201-224-4418.
Provider Profile Details
- NPI Number
- 1255334165
- Provider Name
- David Jin
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732
- Phone Number
- 201-224-4400
- Fax Number
- 201-224-4418
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 24, 2005
- Last Update Date
- October 23, 2022
- Certification Date
- October 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1315 Anderson Ave Ste A
Fort Lee, NJ 07024-1732 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-1732
- Phone Number
- 201-224-4400
- Fax Number
- 201-224-4418
Provider Business Mailing Address Details
- Address
- 1315 Anderson Ave Ste A
Fort Lee, NJ 07024-1732 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-1732
- Phone Number
- 201-224-4400
- Fax Number
- 201-224-4418
License Information
- License Number (1)
- 047558-1
- License State (1)
- NY
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 22DI02183600
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- License Number (3)
- 22DI02183600
- License State (3)
- NJ
- Taxonomy (3)
- 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 Fort Lee, NJ
View all Dentists in Fort Lee →Frequently Asked Questions
What is the NPI number of Dr. David Jin, DDS?
The NPI number of Dr. David Jin, DDS is 1255334165. It was assigned on May 24, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. David Jin, DDS?
Dr. David Jin, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 047558-1.
Where does Dr. David Jin, DDS practice?
The practice location is 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732. The office can be reached at 201-224-4400 (phone) or 201-224-4418 (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 1255334165 directly on the NPPES registry website.