First Mountain Dental Group P.c.
Dentist, General Practice in Montclair, New Jersey
1477670206- Practice location
- 31 S Fullerton Ave, Suite A, Montclair, NJ 07042-3455
- Phone
- 973-746-7771
- Fax
- 973-746-2177
- Last updated
- August 31, 2015
First Mountain Dental Group P.c. is a healthcare organization based in Montclair, NJ. First Mountain Dental Group P.c. practices in Montclair, NJ. The NPI Number for First Mountain Dental Group P.c. is 1477670206 and holds a License No. 22DI01960400 (NJ). The current practice location address for First Mountain Dental Group P.c. is 31 S Fullerton Ave, Suite A, Montclair, NJ 07042-3455 and can be reached out via phone at 973-746-7771 and via fax at 973-746-2177.
Provider Profile Details
- NPI Number
- 1477670206
- Provider Name
- First Mountain Dental Group P.c.
- Provider Entity Type
- Organization
- Address
- 31 S Fullerton Ave, Suite A, Montclair, NJ 07042-3455
- Phone Number
- 973-746-7771
- Fax Number
- 973-746-2177
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Konstantine Trichas, DDS · President · 973-746-7771
- Provider Enumeration Date
- March 25, 2007
- Last Update Date
- August 31, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 S Fullerton Ave
Suite A
Montclair, NJ 07042-3455 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3455
- Phone Number
- 973-746-7771
- Fax Number
- 973-746-2177
Provider Business Mailing Address Details
- Address
- 31 S Fullerton Ave
Suite A
Montclair, NJ 07042-3455 - City
- Montclair
- State
- NJ
- Zip
- 07042-3455
- Phone Number
- 973-746-7771
- Fax Number
- 973-746-2177
License Information
- License Number
- 22DI01960400
- License State
- NJ
- Taxonomy
- 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 First Mountain Dental Group P.c.?
The NPI number of First Mountain Dental Group P.c. is 1477670206. It was assigned on March 25, 2007 and is currently active in the NPPES registry.
What is the specialty of First Mountain Dental Group P.c.?
First Mountain Dental Group P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01960400.
Where does First Mountain Dental Group P.c. practice?
The practice location is 31 S Fullerton Ave, Suite A, Montclair, NJ 07042-3455. The office can be reached at 973-746-7771 (phone) or 973-746-2177 (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 1477670206 directly on the NPPES registry website.