Active NPIOrganization

Integrated Dental Aestetics

Dentist in Kinnelon, New Jersey

NPI Number1275793085
Practice location
11 Kiel Ave, Kinnelon, NJ 07405-2549
Fax
973-838-6258
Last updated
September 17, 2013

Integrated Dental Aestetics is a healthcare organization based in Kinnelon, NJ. Integrated Dental Aestetics practices in Kinnelon, NJ. The NPI Number for Integrated Dental Aestetics is 1275793085 and holds a License No. 10617 (NJ). The current practice location address for Integrated Dental Aestetics is 11 Kiel Ave, Kinnelon, NJ 07405-2549 and can be reached out via phone at 973-838-4460 and via fax at 973-838-6258.

Provider Profile Details

NPI Number
1275793085
Provider Name
Integrated Dental Aestetics
Provider Entity Type
Organization
Address
11 Kiel Ave, Kinnelon, NJ 07405-2549
Phone Number
973-838-4460
Fax Number
973-838-6258
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mr. Robert A Logan · Dentist/Owner · 973-838-4460
Provider Enumeration Date
June 16, 2008
Last Update Date
September 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Kiel Ave
Kinnelon, NJ 07405-2549
Zip
07405-2549
Phone Number
973-838-4460
Fax Number
973-838-6258
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
11 Kiel Ave
Kinnelon, NJ 07405-2549
City
Kinnelon
State
NJ
Zip
07405-2549
Phone Number
973-838-4460
Fax Number
973-838-6258

License Information

License Number
10617
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 Integrated Dental Aestetics?

The NPI number of Integrated Dental Aestetics is 1275793085. It was assigned on June 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Integrated Dental Aestetics?

Integrated Dental Aestetics is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 10617.

Where does Integrated Dental Aestetics practice?

The practice location is 11 Kiel Ave, Kinnelon, NJ 07405-2549. The office can be reached at 973-838-4460 (phone) or 973-838-6258 (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 1275793085 directly on the NPPES registry website.

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