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Dr. Jose Agustin Ravelo, DDS
General Practice Dentistry in West New York, New Jersey
NPI 1487601613

Jose Agustin Ravelo is a General Practice Dentistry based in West New York, NJ and is specialized in General Practice. Jose Agustin Ravelo practices in West New York, NJ and has the professional credentials of DDS. The NPI Number for Jose Agustin Ravelo is 1487601613 and holds a License No. 046379-1 (New Jersey).

The current practice location address for Jose Agustin Ravelo is 5620 Bergenline Ave Ste 2, West New York, NJ and can be reached out via phone at 201-861-9400 and via fax at 201-861-9199.

Location: 5620 Bergenline Ave Ste 2, West New York, NJ, 07093-1257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487601613
Provider Name
Jose Agustin Ravelo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5620 Bergenline Ave Ste 2, West New York, NJ, 07093-1257
Phone Number
201-861-9400
Fax Number
201-861-9199
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8453501 05 NJ
institution
Provider Business Practice Location Address Details
Address
5620 Bergenline Ave Ste 2
City
West New York
State
New Jersey
Zip
07093-1257
Phone Number
201-861-9400
Fax Number
201-861-9199
person
Provider Business Mailing Address Details
Address
5620 Bergenline Ave Ste 2
City
West New York
State
New Jersey
Zip
07093-1257
Phone Number
201-861-9400
Fax Number
201-861-9199
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DI20448 (New Jersey)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
046379-1 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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