Active NPIIndividual provider

Dr. Mayra Modesto-Garrido, DDS

Dentist, General Practice in Glen Rock, New Jersey

NPI Number1568524528
Practice location
266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302
Fax
201-447-5762
Last updated
March 16, 2023

Mayra Modesto-Garrido is a Dentist, General Practice based in Glen Rock, NJ. Mayra Modesto-Garrido practices in Glen Rock, NJ and has the professional credentials of DDS. The NPI Number for Mayra Modesto-Garrido is 1568524528 and holds a License No. 22DI01825501 (NJ). The current practice location address for Mayra Modesto-Garrido is 266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302 and can be reached out via phone at 201-652-0400 and via fax at 201-447-5762.

Provider Profile Details

NPI Number
1568524528
Provider Name
Mayra Modesto-Garrido
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2006
Last Update Date
March 16, 2023
Certification Date
March 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
266 Harristown RD
Suite 102
Glen Rock, NJ 07452-3302
Zip
07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
266 Harristown RD
Suite 102
Glen Rock, NJ 07452-3302
City
Glen Rock
State
NJ
Zip
07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762

License Information

License Number
22DI01825501
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. Mayra Modesto-Garrido, DDS?

The NPI number of Dr. Mayra Modesto-Garrido, DDS is 1568524528. It was assigned on December 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mayra Modesto-Garrido, DDS?

Dr. Mayra Modesto-Garrido, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01825501.

Where does Dr. Mayra Modesto-Garrido, DDS practice?

The practice location is 266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302. The office can be reached at 201-652-0400 (phone) or 201-447-5762 (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 1568524528 directly on the NPPES registry website.

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