Active NPIIndividual provider

Dr. Jorge A Bastidas, DMD

Dentist in Cedar Grove, New Jersey

NPI Number1396869061
Practice location
904 Pompton Ave, Suite A-1, Cedar Grove, NJ 07009-1262
Fax
973-857-9508
Last updated
July 8, 2007

Jorge A. Bastidas is a Dentist based in Cedar Grove, NJ. Jorge A. Bastidas practices in Cedar Grove, NJ and has the professional credentials of DMD. The NPI Number for Jorge A. Bastidas is 1396869061 and holds a License No. DI-017854 (NJ). The current practice location address for Jorge A. Bastidas is 904 Pompton Ave, Suite A-1, Cedar Grove, NJ 07009-1262 and can be reached out via phone at 973-857-0222 and via fax at 973-857-9508.

Provider Profile Details

NPI Number
1396869061
Provider Name
Jorge A. Bastidas
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
904 Pompton Ave, Suite A-1, Cedar Grove, NJ 07009-1262
Phone Number
973-857-0222
Fax Number
973-857-9508
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
904 Pompton Ave
Suite A-1
Cedar Grove, NJ 07009-1262
Zip
07009-1262
Phone Number
973-857-0222
Fax Number
973-857-9508
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
904 Pompton Ave
Suite A-1
Cedar Grove, NJ 07009-1262
City
Cedar Grove
State
NJ
Zip
07009-1262
Phone Number
973-857-0222
Fax Number
973-857-9508

License Information

License Number
DI-017854
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Dr. Jorge A Bastidas, DMD?

The NPI number of Dr. Jorge A Bastidas, DMD is 1396869061. It was assigned on March 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jorge A Bastidas, DMD?

Dr. Jorge A Bastidas, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI-017854.

Where does Dr. Jorge A Bastidas, DMD practice?

The practice location is 904 Pompton Ave, Suite A-1, Cedar Grove, NJ 07009-1262. The office can be reached at 973-857-0222 (phone) or 973-857-9508 (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 1396869061 directly on the NPPES registry website.

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