Active NPIOrganization

Smilist Dental Of New Jersey LLC

Dentist, General Practice in Garwood, New Jersey

NPI Number1376053389
Practice location
305 South Ave, Garwood, NJ 07027-1343
Fax
—
Last updated
October 4, 2017

Smilist Dental Of New Jersey LLC is a healthcare organization based in Garwood, NJ. Smilist Dental Of New Jersey LLC practices in Garwood, NJ. The NPI Number for Smilist Dental Of New Jersey LLC is 1376053389 and holds a License No. 22DI02564700 (NJ). The current practice location address for Smilist Dental Of New Jersey LLC is 305 South Ave, Garwood, NJ 07027-1343 and can be reached out via phone at 516-439-4756.

Provider Profile Details

NPI Number
1376053389
Provider Name
Smilist Dental Of New Jersey LLC
Provider Entity Type
Organization
Address
305 South Ave, Garwood, NJ 07027-1343
Phone Number
516-439-4756
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Jay Khorsandi, DDS · Member · 516-439-4756
Provider Enumeration Date
October 4, 2017
Last Update Date
October 4, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 South Ave
Garwood, NJ 07027-1343
Zip
07027-1343
Phone Number
516-439-4756
Garwood, NJ 07027Get directions →

Provider Business Mailing Address Details

Address
40 Cuttermill RD Ste 400
Great Neck, NY 11021-3213
City
Great Neck
State
NY
Zip
11021-3213

License Information

License Number (1)
22DI02564700
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02564700
License State (2)
NJ
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 Smilist Dental Of New Jersey LLC?

The NPI number of Smilist Dental Of New Jersey LLC is 1376053389. It was assigned on October 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Smilist Dental Of New Jersey LLC?

Smilist Dental Of New Jersey LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02564700.

Where does Smilist Dental Of New Jersey LLC practice?

The practice location is 305 South Ave, Garwood, NJ 07027-1343. The office can be reached at 516-439-4756 (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 1376053389 directly on the NPPES registry website.

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