Active NPIOrganization

South Avenue Dental Group

Clinic/Center, Dental in Cranford, New Jersey

NPI Number1285204347
Practice location
104 South Ave E, Cranford, NJ 07016-2944
Fax
—
Last updated
June 30, 2021

South Avenue Dental Group is a healthcare organization based in Cranford, NJ. South Avenue Dental Group practices in Cranford, NJ. The NPI Number for South Avenue Dental Group is 1285204347. The current practice location address for South Avenue Dental Group is 104 South Ave E, Cranford, NJ 07016-2944 and can be reached out via phone at 203-889-5379.

Provider Profile Details

NPI Number
1285204347
Provider Name
South Avenue Dental Group
Provider Entity Type
Organization
Address
104 South Ave E, Cranford, NJ 07016-2944
Phone Number
203-889-5379
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Lajja Patel, DMD · Owner · 203-889-5379
Other Names
South Avenue Dental (Doing Business As)
Provider Enumeration Date
June 30, 2021
Last Update Date
June 30, 2021
Certification Date
June 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 South Ave E
Cranford, NJ 07016-2944
Zip
07016-2944
Phone Number
203-889-5379
Cranford, NJ 07016Get directions →

Provider Business Mailing Address Details

Address
1106 Grandview Ave
Westfield, NJ 07090-1661
City
Westfield
State
NJ
Zip
07090-1661
Phone Number
646-483-8824

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 South Avenue Dental Group?

The NPI number of South Avenue Dental Group is 1285204347. It was assigned on June 30, 2021 and is currently active in the NPPES registry.

What is the specialty of South Avenue Dental Group?

South Avenue Dental Group is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does South Avenue Dental Group practice?

The practice location is 104 South Ave E, Cranford, NJ 07016-2944. The office can be reached at 203-889-5379 (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 1285204347 directly on the NPPES registry website.

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