Active NPIOrganization

Kelli Brady DDS LLC

Dentist in Old Tappan, New Jersey

NPI Number1548507643
Practice location
180 Old Tappan RD, Bldg 6, Old Tappan, NJ 07675-7052
Fax
201-768-7601
Last updated
January 9, 2013

Kelli Brady DDS LLC is a healthcare organization based in Old Tappan, NJ. Kelli Brady DDS LLC practices in Old Tappan, NJ. The NPI Number for Kelli Brady DDS LLC is 1548507643 and holds a License No. 22D102398600 (NJ). The current practice location address for Kelli Brady DDS LLC is 180 Old Tappan RD, Bldg 6, Old Tappan, NJ 07675-7052 and can be reached out via phone at 201-768-5553 and via fax at 201-768-7601.

Provider Profile Details

NPI Number
1548507643
Provider Name
Kelli Brady DDS LLC
Provider Entity Type
Organization
Address
180 Old Tappan RD, Bldg 6, Old Tappan, NJ 07675-7052
Phone Number
201-768-5553
Fax Number
201-768-7601
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Kelli Brady, DDS · Owner/Dentist · 201-768-5553
Provider Enumeration Date
January 9, 2013
Last Update Date
January 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Old Tappan RD
Bldg 6
Old Tappan, NJ 07675-7052
Zip
07675-7052
Phone Number
201-768-5553
Fax Number
201-768-7601
Old Tappan, NJ 07675Get directions →

Provider Business Mailing Address Details

Address
180 Old Tappan RD
Bldg 6
Old Tappan, NJ 07675-7052
City
Old Tappan
State
NJ
Zip
07675-7052
Phone Number
201-768-5553
Fax Number
201-768-7601

License Information

License Number
22D102398600
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Kelli Brady DDS LLC?

The NPI number of Kelli Brady DDS LLC is 1548507643. It was assigned on January 9, 2013 and is currently active in the NPPES registry.

What is the specialty of Kelli Brady DDS LLC?

Kelli Brady DDS LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D102398600.

Where does Kelli Brady DDS LLC practice?

The practice location is 180 Old Tappan RD, Bldg 6, Old Tappan, NJ 07675-7052. The office can be reached at 201-768-5553 (phone) or 201-768-7601 (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 1548507643 directly on the NPPES registry website.

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