Active NPIOrganization

A Beautiful Smile Dentistry, L.l.c.

Clinic/Center, Multi-Specialty in Fort Lee, New Jersey

NPI Number1316940224
Practice location
1315 Anderson Ave, Ste A, Fort Lee, NJ 07024-1732
Fax
201-224-4418
Last updated
October 9, 2024

A Beautiful Smile Dentistry, L.l.c. is a healthcare organization based in Fort Lee, NJ. A Beautiful Smile Dentistry, L.l.c. practices in Fort Lee, NJ. The NPI Number for A Beautiful Smile Dentistry, L.l.c. is 1316940224 and holds a License No. 22DI02183600 (NJ). The current practice location address for A Beautiful Smile Dentistry, L.l.c. is 1315 Anderson Ave, Ste A, Fort Lee, NJ 07024-1732 and can be reached out via phone at 201-224-4400 and via fax at 201-224-4418.

Provider Profile Details

NPI Number
1316940224
Provider Name
A Beautiful Smile Dentistry, L.l.c.
Provider Entity Type
Organization
Address
1315 Anderson Ave, Ste A, Fort Lee, NJ 07024-1732
Phone Number
201-224-4400
Fax Number
201-224-4418
Primary Taxonomy
Clinic/Center, Multi-Specialty · 261QM1300X
Organization Subpart
No
Authorized Official
David Jin, DDS · Owner · 201-224-4400
Provider Enumeration Date
May 24, 2005
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1315 Anderson Ave
Ste A
Fort Lee, NJ 07024-1732
Zip
07024-1732
Phone Number
201-224-4400
Fax Number
201-224-4418
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1315 Anderson Ave
Ste A
Fort Lee, NJ 07024-1732
City
Fort Lee
State
NJ
Zip
07024-1732
Phone Number
201-224-4400
Fax Number
201-224-4418

License Information

License Number (1)
22DI02183600
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
047558-1
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X
Taxonomy (3)
Clinic/Center, Multi-Specialty · 261QM1300X · 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 A Beautiful Smile Dentistry, L.l.c.?

The NPI number of A Beautiful Smile Dentistry, L.l.c. is 1316940224. It was assigned on May 24, 2005 and is currently active in the NPPES registry.

What is the specialty of A Beautiful Smile Dentistry, L.l.c.?

A Beautiful Smile Dentistry, L.l.c. is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NJ under license number 22DI02183600.

Where does A Beautiful Smile Dentistry, L.l.c. practice?

The practice location is 1315 Anderson Ave, Ste A, Fort Lee, NJ 07024-1732. The office can be reached at 201-224-4400 (phone) or 201-224-4418 (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 1316940224 directly on the NPPES registry website.

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