Active NPIIndividual provider

Dr. Wassim Alwan, DDS

Dentist, General Practice in Prospect Park, New Jersey

NPI Number1619179595
Practice location
222 Haledon Ave, Prospect Park, NJ 07508-2024
Fax
973-904-0857
Last updated
July 8, 2007

Wassim Alwan is a Dentist, General Practice based in Prospect Park, NJ. Wassim Alwan practices in Prospect Park, NJ and has the professional credentials of DDS. The NPI Number for Wassim Alwan is 1619179595 and holds a License No. 22di02293700 (NJ). The current practice location address for Wassim Alwan is 222 Haledon Ave, Prospect Park, NJ 07508-2024 and can be reached out via phone at 973-904-9611 and via fax at 973-904-0857.

Provider Profile Details

NPI Number
1619179595
Provider Name
Wassim Alwan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
222 Haledon Ave, Prospect Park, NJ 07508-2024
Phone Number
973-904-9611
Fax Number
973-904-0857
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Haledon Ave
Prospect Park, NJ 07508-2024
Zip
07508-2024
Phone Number
973-904-9611
Fax Number
973-904-0857
Prospect Park, NJ 07508Get directions →

Provider Business Mailing Address Details

Address
45 Oldham RD
Wayne, NJ 07470-2202
City
Wayne
State
NJ
Zip
07470-2202
Phone Number
973-341-6399

License Information

License Number
22di02293700
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. Wassim Alwan, DDS?

The NPI number of Dr. Wassim Alwan, DDS is 1619179595. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Wassim Alwan, DDS?

Dr. Wassim Alwan, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22di02293700.

Where does Dr. Wassim Alwan, DDS practice?

The practice location is 222 Haledon Ave, Prospect Park, NJ 07508-2024. The office can be reached at 973-904-9611 (phone) or 973-904-0857 (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 1619179595 directly on the NPPES registry website.

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