Active NPIIndividual provider

Dr. Vladimir A Potepalov, DDS

Dentist, General Practice in Englishtown, New Jersey

NPI Number1306811492
Practice location
74 Route 9, Unit C, Englishtown, NJ 07726-9209
Fax
732-972-7705
Last updated
July 8, 2007

Vladimir Alexander Potepalov is a Dentist, General Practice based in Englishtown, NJ. Vladimir Alexander Potepalov practices in Englishtown, NJ and has the professional credentials of DDS. The NPI Number for Vladimir Alexander Potepalov is 1306811492 and holds a License No. 22DI02284000 (NJ). The current practice location address for Vladimir Alexander Potepalov is 74 Route 9, Unit C, Englishtown, NJ 07726-9209 and can be reached out via phone at 732-972-7770 and via fax at 732-972-7705.

Provider Profile Details

NPI Number
1306811492
Provider Name
Vladimir Alexander Potepalov
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
74 Route 9, Unit C, Englishtown, NJ 07726-9209
Phone Number
732-972-7770
Fax Number
732-972-7705
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 Route 9
Unit C
Englishtown, NJ 07726-9209
Zip
07726-9209
Phone Number
732-972-7770
Fax Number
732-972-7705
Englishtown, NJ 07726Get directions →

Provider Business Mailing Address Details

Address
74 Route 9
Unit C
Englishtown, NJ 07726-9209
City
Englishtown
State
NJ
Zip
07726-9209
Phone Number
732-972-7770
Fax Number
732-972-7705

License Information

License Number (1)
22DI02284000
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
051368
License State (2)
NY
Taxonomy (2)
Dentist, General Practice · 1223G0001X

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 Dr. Vladimir A Potepalov, DDS?

The NPI number of Dr. Vladimir A Potepalov, DDS is 1306811492. It was assigned on February 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Vladimir A Potepalov, DDS?

Dr. Vladimir A Potepalov, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02284000.

Where does Dr. Vladimir A Potepalov, DDS practice?

The practice location is 74 Route 9, Unit C, Englishtown, NJ 07726-9209. The office can be reached at 732-972-7770 (phone) or 732-972-7705 (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 1306811492 directly on the NPPES registry website.

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