Magic Smile Dental PC
Dentist, General Practice in Linden, New Jersey
1497944458- Practice location
- 515 N Wood Ave, Suite 101, Linden, NJ 07036-4173
- Phone
- 908-486-5000
- Fax
- 908-486-5006
- Last updated
- October 16, 2007
Magic Smile Dental PC is a healthcare organization based in Linden, NJ. Magic Smile Dental PC practices in Linden, NJ. The NPI Number for Magic Smile Dental PC is 1497944458 and holds a License No. 23087 (NJ). The current practice location address for Magic Smile Dental PC is 515 N Wood Ave, Suite 101, Linden, NJ 07036-4173 and can be reached out via phone at 908-486-5000 and via fax at 908-486-5006.
Provider Profile Details
- NPI Number
- 1497944458
- Provider Name
- Magic Smile Dental PC
- Provider Entity Type
- Organization
- Address
- 515 N Wood Ave, Suite 101, Linden, NJ 07036-4173
- Phone Number
- 908-486-5000
- Fax Number
- 908-486-5006
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Yefim Khanimov, DDS · Owner · 908-486-5000
- Provider Enumeration Date
- October 16, 2007
- Last Update Date
- October 16, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 515 N Wood Ave
Suite 101
Linden, NJ 07036-4173 - City
- Linden
- State
- New Jersey
- Zip
- 07036-4173
- Phone Number
- 908-486-5000
- Fax Number
- 908-486-5006
Provider Business Mailing Address Details
- Address
- 515 N Wood Ave
Suite 101
Linden, NJ 07036-4173 - City
- Linden
- State
- NJ
- Zip
- 07036-4173
- Phone Number
- 908-486-5000
- Fax Number
- 908-486-5006
License Information
- License Number
- 23087
- 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 Magic Smile Dental PC?
The NPI number of Magic Smile Dental PC is 1497944458. It was assigned on October 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Magic Smile Dental PC?
Magic Smile Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 23087.
Where does Magic Smile Dental PC practice?
The practice location is 515 N Wood Ave, Suite 101, Linden, NJ 07036-4173. The office can be reached at 908-486-5000 (phone) or 908-486-5006 (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 1497944458 directly on the NPPES registry website.