Active NPIIndividual providerSole proprietor

Ozra F Modarres, DDS

Dentist in Lyndhurst, New Jersey

NPI Number1447417910
Practice location
217 Stuyvesant Ave, Lyndhurst, NJ 07071
Fax
201-438-5823
Last updated
May 21, 2008

Ozra F Modarres is a Dentist based in Lyndhurst, NJ. Ozra F Modarres practices in Lyndhurst, NJ and has the professional credentials of DDS. The NPI Number for Ozra F Modarres is 1447417910 and holds a License No. DI19996 (NJ). The current practice location address for Ozra F Modarres is 217 Stuyvesant Ave, Lyndhurst, NJ 07071 and can be reached out via phone at 201-438-5328 and via fax at 201-438-5823.

Provider Profile Details

NPI Number
1447417910
Provider Name
Ozra F Modarres
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
217 Stuyvesant Ave, Lyndhurst, NJ 07071
Phone Number
201-438-5328
Fax Number
201-438-5823
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2008
Last Update Date
May 21, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
217 Stuyvesant Ave
Lyndhurst, NJ 07071
Zip
07071
Phone Number
201-438-5328
Fax Number
201-438-5823
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
217 Stuyvesant Ave
Lyndhurst, NJ 07071
City
Lyndhurst
State
NJ
Zip
07071
Phone Number
201-438-5328
Fax Number
201-438-5823

License Information

License Number
DI19996
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 Ozra F Modarres, DDS?

The NPI number of Ozra F Modarres, DDS is 1447417910. It was assigned on May 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Ozra F Modarres, DDS?

Ozra F Modarres, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI19996.

Where does Ozra F Modarres, DDS practice?

The practice location is 217 Stuyvesant Ave, Lyndhurst, NJ 07071. The office can be reached at 201-438-5328 (phone) or 201-438-5823 (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 1447417910 directly on the NPPES registry website.

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