Active NPIOrganization

Beautiful Smiles Dentistry INC.

Dentist, General Practice in Lincoln Park, New Jersey

NPI Number1285030569
Practice location
166 Main St Ste 1B, Lincoln Park, NJ 07035-1791
Fax
973-696-0037
Last updated
November 13, 2014

Beautiful Smiles Dentistry INC. is a healthcare organization based in Lincoln Park, NJ. Beautiful Smiles Dentistry INC. practices in Lincoln Park, NJ. The NPI Number for Beautiful Smiles Dentistry INC. is 1285030569 and holds a License No. DI18340NJ (NJ). The current practice location address for Beautiful Smiles Dentistry INC. is 166 Main St Ste 1B, Lincoln Park, NJ 07035-1791 and can be reached out via phone at 973-628-1449 and via fax at 973-696-0037.

Provider Profile Details

NPI Number
1285030569
Provider Name
Beautiful Smiles Dentistry INC.
Provider Entity Type
Organization
Address
166 Main St Ste 1B, Lincoln Park, NJ 07035-1791
Phone Number
973-628-1449
Fax Number
973-696-0037
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. John A Taltavall, DMD · President · 973-628-1449
Provider Enumeration Date
November 13, 2014
Last Update Date
November 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Main St Ste 1B
Lincoln Park, NJ 07035-1791
Zip
07035-1791
Phone Number
973-628-1449
Fax Number
973-696-0037
Lincoln Park, NJ 07035Get directions →

Provider Business Mailing Address Details

Address
Po Box 457
166 Main Street Suite 1B
Lincoln Park, NJ 07035-0457
City
Lincoln Park
State
NJ
Zip
07035-0457
Phone Number
973-628-1449
Fax Number
973-696-0037

License Information

License Number
DI18340NJ
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 Beautiful Smiles Dentistry INC.?

The NPI number of Beautiful Smiles Dentistry INC. is 1285030569. It was assigned on November 13, 2014 and is currently active in the NPPES registry.

What is the specialty of Beautiful Smiles Dentistry INC.?

Beautiful Smiles Dentistry INC. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI18340NJ.

Where does Beautiful Smiles Dentistry INC. practice?

The practice location is 166 Main St Ste 1B, Lincoln Park, NJ 07035-1791. The office can be reached at 973-628-1449 (phone) or 973-696-0037 (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 1285030569 directly on the NPPES registry website.

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