Active NPIOrganization

South Orange Dental Center PA

Dentist, General Practice in South Orange, New Jersey

NPI Number1316604275
Practice location
481 S Orange Ave, South Orange, NJ 07079-2642
Fax
973-762-5473
Last updated
November 26, 2021

South Orange Dental Center PA is a healthcare organization based in South Orange, NJ. South Orange Dental Center PA practices in South Orange, NJ. The NPI Number for South Orange Dental Center PA is 1316604275. The current practice location address for South Orange Dental Center PA is 481 S Orange Ave, South Orange, NJ 07079-2642 and can be reached out via phone at 973-762-2660 and via fax at 973-762-5473.

Provider Profile Details

NPI Number
1316604275
Provider Name
South Orange Dental Center PA
Provider Entity Type
Organization
Address
481 S Orange Ave, South Orange, NJ 07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Haniel Rosemond, DDS, FAGD · Owner · 973-762-2660
Provider Enumeration Date
November 26, 2021
Last Update Date
November 26, 2021
Certification Date
November 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 S Orange Ave
South Orange, NJ 07079-2642
Zip
07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
481 S Orange Ave
South Orange, NJ 07079-2642
City
South Orange
State
NJ
Zip
07079-2642
Phone Number
973-762-2660
Fax Number
973-762-5473

License Information

Taxonomy (2)
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 South Orange Dental Center PA?

The NPI number of South Orange Dental Center PA is 1316604275. It was assigned on November 26, 2021 and is currently active in the NPPES registry.

What is the specialty of South Orange Dental Center PA?

South Orange Dental Center PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does South Orange Dental Center PA practice?

The practice location is 481 S Orange Ave, South Orange, NJ 07079-2642. The office can be reached at 973-762-2660 (phone) or 973-762-5473 (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 1316604275 directly on the NPPES registry website.

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