St Michael Dental Clinic Corporation
Dentist, Dental Public Health in Bayonne, New Jersey
1487996997- Practice location
- 664 Broadway, Bayonne, NJ 07002-4726
- Phone
- 201-823-2062
- Fax
- 201-858-8696
- Last updated
- March 22, 2013
St Michael Dental Clinic Corporation is a healthcare organization based in Bayonne, NJ. St Michael Dental Clinic Corporation practices in Bayonne, NJ. The NPI Number for St Michael Dental Clinic Corporation is 1487996997 and holds a License No. 22DI02492200 (NJ). The current practice location address for St Michael Dental Clinic Corporation is 664 Broadway, Bayonne, NJ 07002-4726 and can be reached out via phone at 201-823-2062 and via fax at 201-858-8696.
Provider Profile Details
- NPI Number
- 1487996997
- Provider Name
- St Michael Dental Clinic Corporation
- Provider Entity Type
- Organization
- Address
- 664 Broadway, Bayonne, NJ 07002-4726
- Phone Number
- 201-823-2062
- Fax Number
- 201-858-8696
- Primary Taxonomy
- Dentist, Dental Public Health · 1223D0001X
- Organization Subpart
- No
- Authorized Official
- Olivia Yanni, DMD · President · 201-993-9181
- Provider Enumeration Date
- March 22, 2013
- Last Update Date
- March 22, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 664 Broadway
Bayonne, NJ 07002-4726 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-4726
- Phone Number
- 201-823-2062
- Fax Number
- 201-858-8696
Provider Business Mailing Address Details
- Address
- 664 Broadway
Bayonne, NJ 07002-4726 - City
- Bayonne
- State
- NJ
- Zip
- 07002-4726
- Phone Number
- 201-823-2062
- Fax Number
- 201-858-8696
License Information
- License Number
- 22DI02492200
- License State
- NJ
- Taxonomy
- Dentist, Dental Public Health · 1223D0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Dental Public Health providers near Bayonne, NJ
View all Dentist, Dental Public Health providers in Bayonne →Frequently Asked Questions
What is the NPI number of St Michael Dental Clinic Corporation?
The NPI number of St Michael Dental Clinic Corporation is 1487996997. It was assigned on March 22, 2013 and is currently active in the NPPES registry.
What is the specialty of St Michael Dental Clinic Corporation?
St Michael Dental Clinic Corporation is registered under the primary taxonomy Dentist, Dental Public Health (code 1223D0001X), licensed in NJ under license number 22DI02492200.
Where does St Michael Dental Clinic Corporation practice?
The practice location is 664 Broadway, Bayonne, NJ 07002-4726. The office can be reached at 201-823-2062 (phone) or 201-858-8696 (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 1487996997 directly on the NPPES registry website.