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Dr. Surendra R. Vashi, DMD
General Practice Dentistry in Newark, New Jersey
NPI 1629140157

Surendra R. Vashi is a General Practice Dentistry based in Newark, NJ and is specialized in General Practice. Surendra R. Vashi practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Surendra R. Vashi is 1629140157 and holds a License No. DIO 17619 (New Jersey).

The current practice location address for Surendra R. Vashi is 57 Broadway, Newark, NJ and can be reached out via phone at 973-481-3981 and via fax at 973-481-1082.

Location: 57 Broadway, Newark, NJ, 07104-2503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629140157
Provider Name
Surendra R. Vashi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
57 Broadway, Newark, NJ, 07104-2503
Phone Number
973-481-3981
Fax Number
973-481-1082
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1168217 01 NJ HORIZON NJ HEALTH
17836 01 NJ AMERIGROUP
336421 01 NJ AMERICHOICE
300133795 01 NJ TAX ID
4634501 05 NJ
institution
Provider Business Practice Location Address Details
Address
57 Broadway
City
Newark
State
New Jersey
Zip
07104-2503
Phone Number
973-481-3981
Fax Number
973-481-1082
person
Provider Business Mailing Address Details
Address
57 Broadway
City
Newark
State
New Jersey
Zip
07104-2503
Phone Number
973-481-3981
Fax Number
973-481-1082
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DIO 17619 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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