Active NPIOrganization

Advaced Dental Associates Of South Orange

Dentist, General Practice in South Orange, New Jersey

NPI Number1386773844
Practice location
45 Prospect St, South Orange, NJ 07079-2100
Fax
973-763-0906
Last updated
August 22, 2020

Advaced Dental Associates Of South Orange is a healthcare organization based in South Orange, NJ. Advaced Dental Associates Of South Orange practices in South Orange, NJ. The NPI Number for Advaced Dental Associates Of South Orange is 1386773844 and holds a License No. 22DI01951600 (NJ). The current practice location address for Advaced Dental Associates Of South Orange is 45 Prospect St, South Orange, NJ 07079-2100 and can be reached out via phone at 973-763-2940 and via fax at 973-763-0906.

Provider Profile Details

NPI Number
1386773844
Provider Name
Advaced Dental Associates Of South Orange
Provider Entity Type
Organization
Address
45 Prospect St, South Orange, NJ 07079-2100
Phone Number
973-763-2940
Fax Number
973-763-0906
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Steven Koretzky, DMD · Vice President · 973-763-2940
Provider Enumeration Date
March 2, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Prospect St
South Orange, NJ 07079-2100
Zip
07079-2100
Phone Number
973-763-2940
Fax Number
973-763-0906
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
41 Wyckoff Dr
Pittstown, NJ 08867-4235
City
Pittstown
State
NJ
Zip
08867-4235
Phone Number
973-763-2940
Fax Number
973-763-0906

License Information

License Number
22DI01951600
License State
NJ
Taxonomy
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 Advaced Dental Associates Of South Orange?

The NPI number of Advaced Dental Associates Of South Orange is 1386773844. It was assigned on March 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Advaced Dental Associates Of South Orange?

Advaced Dental Associates Of South Orange is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01951600.

Where does Advaced Dental Associates Of South Orange practice?

The practice location is 45 Prospect St, South Orange, NJ 07079-2100. The office can be reached at 973-763-2940 (phone) or 973-763-0906 (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 1386773844 directly on the NPPES registry website.

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