Active NPIOrganization

Dental Sanctuary Of Fanwood LLC

Clinic/Center, Dental in Fanwood, New Jersey

NPI Number1316710205
Practice location
250 South Ave Ste 103, Fanwood, NJ 07023-1219
Fax
—
Last updated
February 27, 2026

Dental Sanctuary Of Fanwood LLC is a healthcare organization based in Fanwood, NJ. Dental Sanctuary Of Fanwood LLC practices in Fanwood, NJ. The NPI Number for Dental Sanctuary Of Fanwood LLC is 1316710205. The current practice location address for Dental Sanctuary Of Fanwood LLC is 250 South Ave Ste 103, Fanwood, NJ 07023-1219 and can be reached out via phone at 215-350-9520.

Provider Profile Details

NPI Number
1316710205
Provider Name
Dental Sanctuary Of Fanwood LLC
Provider Entity Type
Organization
Address
250 South Ave Ste 103, Fanwood, NJ 07023-1219
Phone Number
215-350-9520
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Priya R Patel, DMD · General Dentist · 215-350-9520
Provider Enumeration Date
November 1, 2023
Last Update Date
February 27, 2026
Certification Date
February 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 South Ave Ste 103
Fanwood, NJ 07023-1219
Zip
07023-1219
Phone Number
215-350-9520
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
250 South Ave Ste 103
Fanwood, NJ 07023-1219
City
Fanwood
State
NJ
Zip
07023-1219
Phone Number
908-490-6614
Fax Number
908-615-1701

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 Dental Sanctuary Of Fanwood LLC?

The NPI number of Dental Sanctuary Of Fanwood LLC is 1316710205. It was assigned on November 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Dental Sanctuary Of Fanwood LLC?

Dental Sanctuary Of Fanwood LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Dental Sanctuary Of Fanwood LLC practice?

The practice location is 250 South Ave Ste 103, Fanwood, NJ 07023-1219. The office can be reached at 215-350-9520 (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 1316710205 directly on the NPPES registry website.

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