Active NPIOrganization

Clinton Hill Dental Assoc

Clinic/Center, Dental in Newark, New Jersey

NPI Number1407989254
Practice location
804 Cinton Ave, Newark, NJ 07108-1004
Fax
973-374-5609
Last updated
August 22, 2020

Clinton Hill Dental Assoc is a healthcare organization based in Newark, NJ. Clinton Hill Dental Assoc practices in Newark, NJ. The NPI Number for Clinton Hill Dental Assoc is 1407989254 and holds a License No. 2108128 (NJ). The current practice location address for Clinton Hill Dental Assoc is 804 Cinton Ave, Newark, NJ 07108-1004 and can be reached out via phone at 973-374-5200 and via fax at 973-374-5609.

Provider Profile Details

NPI Number
1407989254
Provider Name
Clinton Hill Dental Assoc
Provider Entity Type
Organization
Address
804 Cinton Ave, Newark, NJ 07108-1004
Phone Number
973-374-5200
Fax Number
973-374-5609
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Mr. Theodore Davis, DDS · Dentist · 973-374-5200
Provider Enumeration Date
March 13, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
804 Cinton Ave
Newark, NJ 07108-1004
City
Newark
Zip
07108-1004
Phone Number
973-374-5200
Fax Number
973-374-5609
Newark, NJ 07108Get directions →

Provider Business Mailing Address Details

Address
804 Cinton Ave
Newark, NJ 07108-1004
City
Newark
State
NJ
Zip
07108-1004
Phone Number
973-374-5200
Fax Number
973-374-5609

License Information

License Number
2108128
License State
NJ
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Clinton Hill Dental Assoc?

The NPI number of Clinton Hill Dental Assoc is 1407989254. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Clinton Hill Dental Assoc?

Clinton Hill Dental Assoc is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in NJ under license number 2108128.

Where does Clinton Hill Dental Assoc practice?

The practice location is 804 Cinton Ave, Newark, NJ 07108-1004. The office can be reached at 973-374-5200 (phone) or 973-374-5609 (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 1407989254 directly on the NPPES registry website.

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