Active NPIIndividual provider

Dr. Alexandra Mentaelopoulos, DMD

Dentist in Bloomfield, New Jersey

NPI Number1447263074
Practice location
256 Broad Street, Bloomfield, NJ 07003
Fax
973-743-0019
Last updated
July 8, 2007

Alexandra Mentaelopoulos is a Dentist based in Bloomfield, NJ. Alexandra Mentaelopoulos practices in Bloomfield, NJ and has the professional credentials of DMD. The NPI Number for Alexandra Mentaelopoulos is 1447263074 and holds a License No. 22DI01626700 (NJ). The current practice location address for Alexandra Mentaelopoulos is 256 Broad Street, Bloomfield, NJ 07003 and can be reached out via phone at 973-743-7766 and via fax at 973-743-0019.

Provider Profile Details

NPI Number
1447263074
Provider Name
Alexandra Mentaelopoulos
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
256 Broad Street, Bloomfield, NJ 07003
Phone Number
973-743-7766
Fax Number
973-743-0019
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
256 Broad Street
Bloomfield, NJ 07003
Zip
07003
Phone Number
973-743-7766
Fax Number
973-743-0019
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
256 Broad Street
Bloomfield, NJ 07003
City
Bloomfield
State
NJ
Zip
07003
Phone Number
973-743-7766
Fax Number
973-743-0019

License Information

License Number
22DI01626700
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. Alexandra Mentaelopoulos, DMD?

The NPI number of Dr. Alexandra Mentaelopoulos, DMD is 1447263074. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexandra Mentaelopoulos, DMD?

Dr. Alexandra Mentaelopoulos, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01626700.

Where does Dr. Alexandra Mentaelopoulos, DMD practice?

The practice location is 256 Broad Street, Bloomfield, NJ 07003. The office can be reached at 973-743-7766 (phone) or 973-743-0019 (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 1447263074 directly on the NPPES registry website.

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