Active NPIOrganization

Avon Dental Group, LLC

Preferred Provider Organization in Avon By The Sea, New Jersey

NPI Number1538397773
Practice location
608 Main St, Avon By The Sea, NJ 07717-1020
Fax
—
Last updated
June 25, 2009

Avon Dental Group, LLC is a healthcare organization based in Avon By The Sea, NJ. Avon Dental Group, LLC practices in Avon By The Sea, NJ. The NPI Number for Avon Dental Group, LLC is 1538397773 and holds a License No. 22dio2162500 (NJ). The current practice location address for Avon Dental Group, LLC is 608 Main St, Avon By The Sea, NJ 07717-1020 and can be reached out via phone at 732-775-3531.

Provider Profile Details

NPI Number
1538397773
Provider Name
Avon Dental Group, LLC
Provider Entity Type
Organization
Address
608 Main St, Avon By The Sea, NJ 07717-1020
Phone Number
732-775-3531
Primary Taxonomy
Preferred Provider Organization · 305R00000X
Organization Subpart
No
Authorized Official
Dr. John George Rassias, DMD · Owner · 732-259-3037
Provider Enumeration Date
June 25, 2009
Last Update Date
June 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
608 Main St
Avon By The Sea, NJ 07717-1020
Zip
07717-1020
Phone Number
732-775-3531
Avon By The Sea, NJ 07717Get directions →

Provider Business Mailing Address Details

Address
608 Main St
Avon By The Sea, NJ 07717-1020
City
Avon By The Sea
State
NJ
Zip
07717-1020
Phone Number
732-775-3531

License Information

License Number
22dio2162500
License State
NJ
Taxonomy
Preferred Provider Organization · 305R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Avon Dental Group, LLC?

The NPI number of Avon Dental Group, LLC is 1538397773. It was assigned on June 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Avon Dental Group, LLC?

Avon Dental Group, LLC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 22dio2162500.

Where does Avon Dental Group, LLC practice?

The practice location is 608 Main St, Avon By The Sea, NJ 07717-1020. The office can be reached at 732-775-3531 (phone).

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 1538397773 directly on the NPPES registry website.

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