Dr. Elizabeth Sandoval, DMD
Dentist, General Practice in Bloomfield, New Jersey
1457547937- Practice location
- 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844
- Phone
- 973-338-1100
- Fax
- 973-338-1059
- Last updated
- January 15, 2020
Elizabeth Sandoval is a Dentist, General Practice based in Bloomfield, NJ. Elizabeth Sandoval practices in Bloomfield, NJ and has the professional credentials of DMD. The NPI Number for Elizabeth Sandoval is 1457547937 and holds a License No. 053693-1 (NY). The current practice location address for Elizabeth Sandoval is 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844 and can be reached out via phone at 973-338-1100 and via fax at 973-338-1059.
Provider Profile Details
- NPI Number
- 1457547937
- Provider Name
- Elizabeth Sandoval
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844
- Phone Number
- 973-338-1100
- Fax Number
- 973-338-1059
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 19, 2007
- Last Update Date
- January 15, 2020
- Certification Date
- January 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1025 Broad St Ste 3
Bloomfield, NJ 07003-2844 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2844
- Phone Number
- 973-338-1100
- Fax Number
- 973-338-1059
Provider Business Mailing Address Details
- Address
- 1025 Broad St Ste 3E
Bloomfield, NJ 07003-2844 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2844
- Phone Number
- 973-338-1100
- Fax Number
- 973-338-1059
License Information
- License Number (1)
- 053693-1
- License State (1)
- NY
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 22DI02233300
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Elizabeth Sandoval, DMD?
The NPI number of Dr. Elizabeth Sandoval, DMD is 1457547937. It was assigned on September 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Elizabeth Sandoval, DMD?
Dr. Elizabeth Sandoval, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 053693-1.
Where does Dr. Elizabeth Sandoval, DMD practice?
The practice location is 1025 Broad St Ste 3, Bloomfield, NJ 07003-2844. The office can be reached at 973-338-1100 (phone) or 973-338-1059 (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 1457547937 directly on the NPPES registry website.