Active NPIOrganization

Blossom Smiles Dental Association LLC

Dentist, General Practice in Lyndhurst, New Jersey

NPI Number1407686660
Practice location
134 Ridge RD, Lyndhurst, NJ 07071-1244
Fax
—
Last updated
August 2, 2024

Blossom Smiles Dental Association LLC is a healthcare organization based in Lyndhurst, NJ. Blossom Smiles Dental Association LLC practices in Lyndhurst, NJ. The NPI Number for Blossom Smiles Dental Association LLC is 1407686660. The current practice location address for Blossom Smiles Dental Association LLC is 134 Ridge RD, Lyndhurst, NJ 07071-1244 and can be reached out via phone at 973-337-7444.

Provider Profile Details

NPI Number
1407686660
Provider Name
Blossom Smiles Dental Association LLC
Provider Entity Type
Organization
Address
134 Ridge RD, Lyndhurst, NJ 07071-1244
Phone Number
973-337-7444
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Rola Owies, DMD · Owner · 973-337-7444
Provider Enumeration Date
August 2, 2024
Last Update Date
August 2, 2024
Certification Date
August 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Ridge RD
Lyndhurst, NJ 07071-1244
Zip
07071-1244
Phone Number
973-337-7444
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
19 Marlo RD
Wayne, NJ 07470-6034
City
Wayne
State
NJ
Zip
07470-6034
Phone Number
973-337-7444

License Information

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 Blossom Smiles Dental Association LLC?

The NPI number of Blossom Smiles Dental Association LLC is 1407686660. It was assigned on August 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Blossom Smiles Dental Association LLC?

Blossom Smiles Dental Association LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Blossom Smiles Dental Association LLC practice?

The practice location is 134 Ridge RD, Lyndhurst, NJ 07071-1244. The office can be reached at 973-337-7444 (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 1407686660 directly on the NPPES registry website.

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