Active NPIOrganization

Supreme Dental Associates, LLC

Dentist, General Practice in West Orange, New Jersey

NPI Number1386795409
Practice location
331 Valley RD, West Orange, NJ 07052-5302
Fax
973-325-9877
Last updated
August 22, 2020

Supreme Dental Associates, LLC is a healthcare organization based in West Orange, NJ. Supreme Dental Associates, LLC practices in West Orange, NJ. The NPI Number for Supreme Dental Associates, LLC is 1386795409 and holds a License No. 22DI02143500 (NJ). The current practice location address for Supreme Dental Associates, LLC is 331 Valley RD, West Orange, NJ 07052-5302 and can be reached out via phone at 973-325-9800 and via fax at 973-325-9877.

Provider Profile Details

NPI Number
1386795409
Provider Name
Supreme Dental Associates, LLC
Provider Entity Type
Organization
Address
331 Valley RD, West Orange, NJ 07052-5302
Phone Number
973-325-9800
Fax Number
973-325-9877
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Bedes Osuala, DMD · Owner Administrator · 973-325-9800
Provider Enumeration Date
January 16, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Valley RD
West Orange, NJ 07052-5302
Zip
07052-5302
Phone Number
973-325-9800
Fax Number
973-325-9877
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
331 Valley RD
West Orange, NJ 07052-5302
City
West Orange
State
NJ
Zip
07052-5302
Phone Number
973-325-9800
Fax Number
973-325-9877

License Information

License Number
22DI02143500
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 Supreme Dental Associates, LLC?

The NPI number of Supreme Dental Associates, LLC is 1386795409. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Supreme Dental Associates, LLC?

Supreme Dental Associates, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02143500.

Where does Supreme Dental Associates, LLC practice?

The practice location is 331 Valley RD, West Orange, NJ 07052-5302. The office can be reached at 973-325-9800 (phone) or 973-325-9877 (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 1386795409 directly on the NPPES registry website.

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