Park Avenue Dental Group
Dentist, Oral and Maxillofacial Surgery in Weehawken, New Jersey
1558733196- Practice location
- 3508 Park Ave, Weehawken, NJ 07086-6006
- Phone
- 201-864-4730
- Fax
- 201-864-4734
- Last updated
- October 22, 2015
Park Avenue Dental Group is a healthcare organization based in Weehawken, NJ. Park Avenue Dental Group practices in Weehawken, NJ. The NPI Number for Park Avenue Dental Group is 1558733196 and holds a License No. 22DI01527800 (NJ). The current practice location address for Park Avenue Dental Group is 3508 Park Ave, Weehawken, NJ 07086-6006 and can be reached out via phone at 201-864-4730 and via fax at 201-864-4734.
Provider Profile Details
- NPI Number
- 1558733196
- Provider Name
- Park Avenue Dental Group
- Provider Entity Type
- Organization
- Address
- 3508 Park Ave, Weehawken, NJ 07086-6006
- Phone Number
- 201-864-4730
- Fax Number
- 201-864-4734
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Bruce Hirshorn, DMD · Oral Surgeon · 201-864-4730
- Provider Enumeration Date
- October 22, 2015
- Last Update Date
- October 22, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3508 Park Ave
Weehawken, NJ 07086-6006 - City
- Weehawken
- State
- New Jersey
- Zip
- 07086-6006
- Phone Number
- 201-864-4730
- Fax Number
- 201-864-4734
Provider Business Mailing Address Details
- Address
- 3508 Park Ave
Weehawken, NJ 07086-6006 - City
- Weehawken
- State
- NJ
- Zip
- 07086-6006
- Phone Number
- 201-864-4730
- Fax Number
- 201-864-4734
License Information
- License Number
- 22DI01527800
- License State
- NJ
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Park Avenue Dental Group?
The NPI number of Park Avenue Dental Group is 1558733196. It was assigned on October 22, 2015 and is currently active in the NPPES registry.
What is the specialty of Park Avenue Dental Group?
Park Avenue Dental Group is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI01527800.
Where does Park Avenue Dental Group practice?
The practice location is 3508 Park Ave, Weehawken, NJ 07086-6006. The office can be reached at 201-864-4730 (phone) or 201-864-4734 (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 1558733196 directly on the NPPES registry website.