Dr. Fariba Edalat, DDS
Dentist in Newark, New Jersey
1366764474- Practice location
- 639 Mount Prospect Ave, Newark, NJ 07104-3109
- Phone
- 973-481-3900
- Fax
- 973-481-2999
- Last updated
- September 6, 2012
Fariba Edalat is a Dentist based in Newark, NJ. Fariba Edalat practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Fariba Edalat is 1366764474 and holds a License No. DI22496 (NJ). The current practice location address for Fariba Edalat is 639 Mount Prospect Ave, Newark, NJ 07104-3109 and can be reached out via phone at 973-481-3900 and via fax at 973-481-2999.
Provider Profile Details
- NPI Number
- 1366764474
- Provider Name
- Fariba Edalat
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 639 Mount Prospect Ave, Newark, NJ 07104-3109
- Phone Number
- 973-481-3900
- Fax Number
- 973-481-2999
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 17, 2010
- Last Update Date
- September 6, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 639 Mount Prospect Ave
Newark, NJ 07104-3109 - City
- Newark
- State
- New Jersey
- Zip
- 07104-3109
- Phone Number
- 973-481-3900
- Fax Number
- 973-481-2999
Provider Business Mailing Address Details
- Address
- 29 Schindler Ter
West Orange, NJ 07052-1079 - City
- West Orange
- State
- NJ
- Zip
- 07052-1079
- Phone Number
- 973-736-0642
License Information
- License Number
- DI22496
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Newark, NJ
View all Dentists in Newark →Frequently Asked Questions
What is the NPI number of Dr. Fariba Edalat, DDS?
The NPI number of Dr. Fariba Edalat, DDS is 1366764474. It was assigned on February 17, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Fariba Edalat, DDS?
Dr. Fariba Edalat, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI22496.
Where does Dr. Fariba Edalat, DDS practice?
The practice location is 639 Mount Prospect Ave, Newark, NJ 07104-3109. The office can be reached at 973-481-3900 (phone) or 973-481-2999 (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 1366764474 directly on the NPPES registry website.