Active NPIOrganization

Monmouth Mall Dental, PA

Dentist, General Practice in Eatontown, New Jersey

NPI Number1437591567
Practice location
180 Route 35 S, Eatontown, NJ 07724-2023
Fax
—
Last updated
July 17, 2013

Monmouth Mall Dental, PA is a healthcare organization based in Eatontown, NJ. Monmouth Mall Dental, PA practices in Eatontown, NJ. The NPI Number for Monmouth Mall Dental, PA is 1437591567 and holds a License No. 19779 (NJ). The current practice location address for Monmouth Mall Dental, PA is 180 Route 35 S, Eatontown, NJ 07724-2023 and can be reached out via phone at 201-626-2500.

Provider Profile Details

NPI Number
1437591567
Provider Name
Monmouth Mall Dental, PA
Provider Entity Type
Organization
Address
180 Route 35 S, Eatontown, NJ 07724-2023
Phone Number
201-626-2500
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Alexander Mikhailov, DDS · President · 201-626-2500
Provider Enumeration Date
July 17, 2013
Last Update Date
July 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Route 35 S
Eatontown, NJ 07724-2023
Zip
07724-2023
Phone Number
201-626-2500
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
180 Route 35 S
Eatontown, NJ 07724-2023
City
Eatontown
State
NJ
Zip
07724-2023
Phone Number
201-626-2500

License Information

License Number
19779
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 Monmouth Mall Dental, PA?

The NPI number of Monmouth Mall Dental, PA is 1437591567. It was assigned on July 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Monmouth Mall Dental, PA?

Monmouth Mall Dental, PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 19779.

Where does Monmouth Mall Dental, PA practice?

The practice location is 180 Route 35 S, Eatontown, NJ 07724-2023. The office can be reached at 201-626-2500 (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 1437591567 directly on the NPPES registry website.

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