Active NPIOrganization

Fanwood Family Dental

Dentist, General Practice in Fanwood, New Jersey

NPI Number1275653388
Practice location
225 N Martine Ave, Fanwood, NJ 07023-1336
Fax
—
Last updated
August 22, 2020

Fanwood Family Dental is a healthcare organization based in Fanwood, NJ. Fanwood Family Dental practices in Fanwood, NJ. The NPI Number for Fanwood Family Dental is 1275653388 and holds a License No. 22DI02164702 (NJ). The current practice location address for Fanwood Family Dental is 225 N Martine Ave, Fanwood, NJ 07023-1336 and can be reached out via phone at 908-322-7111.

Provider Profile Details

NPI Number
1275653388
Provider Name
Fanwood Family Dental
Provider Entity Type
Organization
Address
225 N Martine Ave, Fanwood, NJ 07023-1336
Phone Number
908-322-7111
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Rushabh Shah · President · 908-322-7111
Provider Enumeration Date
March 30, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 N Martine Ave
Fanwood, NJ 07023-1336
Zip
07023-1336
Phone Number
908-322-7111
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
225 N Martine Ave
Fanwood, NJ 07023-1336
City
Fanwood
State
NJ
Zip
07023-1336

License Information

License Number
22DI02164702
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 Fanwood Family Dental?

The NPI number of Fanwood Family Dental is 1275653388. It was assigned on March 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Fanwood Family Dental?

Fanwood Family Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02164702.

Where does Fanwood Family Dental practice?

The practice location is 225 N Martine Ave, Fanwood, NJ 07023-1336. The office can be reached at 908-322-7111 (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 1275653388 directly on the NPPES registry website.

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