- Practice location
- 15-01 Broadway Ste 18, Fair Lawn, NJ 07410-6018
- Phone
- 201-475-1600
- Fax
- —
- Last updated
- October 11, 2011
Sparkle Kids Dentistry PC is a healthcare organization based in Fair Lawn, NJ. Sparkle Kids Dentistry PC practices in Fair Lawn, NJ. The NPI Number for Sparkle Kids Dentistry PC is 1548544471 and holds a License No. 22DI02285400 (NJ). The current practice location address for Sparkle Kids Dentistry PC is 15-01 Broadway Ste 18, Fair Lawn, NJ 07410-6018 and can be reached out via phone at 201-475-1600.
Provider Profile Details
- NPI Number
- 1548544471
- Provider Name
- Sparkle Kids Dentistry PC
- Provider Entity Type
- Organization
- Address
- 15-01 Broadway Ste 18, Fair Lawn, NJ 07410-6018
- Phone Number
- 201-475-1600
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Preeti Gupta, DDS · Pediatric Dentist · 201-475-1600
- Provider Enumeration Date
- October 11, 2011
- Last Update Date
- October 11, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15-01 Broadway Ste 18
Fair Lawn, NJ 07410-6018 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-6018
- Phone Number
- 201-475-1600
Provider Business Mailing Address Details
- Address
- 15-01 Broadway Ste 18
Fair Lawn, NJ 07410-6018 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-6018
License Information
- License Number (1)
- 22DI02285400
- License State (1)
- NJ
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 22DI02290400
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X
- License Number (3)
- 22DI02285400
- License State (3)
- NJ
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (4)
- 22DI02290400
- License State (4)
- NJ
- Taxonomy (4)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Fair Lawn, NJ
View all Dentists in Fair Lawn →Frequently Asked Questions
What is the NPI number of Sparkle Kids Dentistry PC?
The NPI number of Sparkle Kids Dentistry PC is 1548544471. It was assigned on October 11, 2011 and is currently active in the NPPES registry.
What is the specialty of Sparkle Kids Dentistry PC?
Sparkle Kids Dentistry PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02285400.
Where does Sparkle Kids Dentistry PC practice?
The practice location is 15-01 Broadway Ste 18, Fair Lawn, NJ 07410-6018. The office can be reached at 201-475-1600 (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 1548544471 directly on the NPPES registry website.