Active NPIIndividual providerSole proprietor

Dr. Michel Mouravieff, DMD

Dentist, General Practice in Ridgewood, New Jersey

NPI Number1548473531
Practice location
525 N Maple Ave, Ridgewood, NJ 07450-1612
Fax
201-670-1311
Last updated
July 8, 2007

Michel Mouravieff is a Dentist, General Practice based in Ridgewood, NJ. Michel Mouravieff practices in Ridgewood, NJ and has the professional credentials of DMD. The NPI Number for Michel Mouravieff is 1548473531 and holds a License No. 22DI01563800 (NJ). The current practice location address for Michel Mouravieff is 525 N Maple Ave, Ridgewood, NJ 07450-1612 and can be reached out via phone at 201-670-7700 and via fax at 201-670-1311.

Provider Profile Details

NPI Number
1548473531
Provider Name
Michel Mouravieff
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
525 N Maple Ave, Ridgewood, NJ 07450-1612
Phone Number
201-670-7700
Fax Number
201-670-1311
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 N Maple Ave
Ridgewood, NJ 07450-1612
Zip
07450-1612
Phone Number
201-670-7700
Fax Number
201-670-1311
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
525 N Maple Ave
Ridgewood, NJ 07450-1612
City
Ridgewood
State
NJ
Zip
07450-1612
Phone Number
201-670-7700
Fax Number
201-670-1311

License Information

License Number
22DI01563800
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Michel Mouravieff, DMD?

The NPI number of Dr. Michel Mouravieff, DMD is 1548473531. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Michel Mouravieff, DMD?

Dr. Michel Mouravieff, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01563800.

Where does Dr. Michel Mouravieff, DMD practice?

The practice location is 525 N Maple Ave, Ridgewood, NJ 07450-1612. The office can be reached at 201-670-7700 (phone) or 201-670-1311 (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 1548473531 directly on the NPPES registry website.

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