- Practice location
- 1 State Route 35, Keyport, NJ 07735-1128
- Phone
- 732-888-7770
- Fax
- 732-888-2711
- Last updated
- August 22, 2020
Chantilly Dental Group LLC is a healthcare organization based in Keyport, NJ. Chantilly Dental Group LLC practices in Keyport, NJ. The NPI Number for Chantilly Dental Group LLC is 1629287412 and holds a License No. DI01693000 (NJ). The current practice location address for Chantilly Dental Group LLC is 1 State Route 35, Keyport, NJ 07735-1128 and can be reached out via phone at 732-888-7770 and via fax at 732-888-2711.
Provider Profile Details
- NPI Number
- 1629287412
- Provider Name
- Chantilly Dental Group LLC
- Provider Entity Type
- Organization
- Address
- 1 State Route 35, Keyport, NJ 07735-1128
- Phone Number
- 732-888-7770
- Fax Number
- 732-888-2711
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. David E. Tarrab, DDS · Managing Member · 732-888-7770
- Other Names
- Monmouth Dental Group North (Doing Business As)
- Provider Enumeration Date
- May 21, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 State Route 35
Keyport, NJ 07735-1128 - City
- Keyport
- State
- New Jersey
- Zip
- 07735-1128
- Phone Number
- 732-888-7770
- Fax Number
- 732-888-2711
Provider Business Mailing Address Details
- Address
- 1 State Route 35
Keyport, NJ 07735-1128 - City
- Keyport
- State
- NJ
- Zip
- 07735-1128
- Phone Number
- 732-888-7770
- Fax Number
- 732-888-2711
License Information
- License Number
- DI01693000
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · 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 Chantilly Dental Group LLC?
The NPI number of Chantilly Dental Group LLC is 1629287412. It was assigned on May 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Chantilly Dental Group LLC?
Chantilly Dental Group LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI01693000.
Where does Chantilly Dental Group LLC practice?
The practice location is 1 State Route 35, Keyport, NJ 07735-1128. The office can be reached at 732-888-7770 (phone) or 732-888-2711 (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 1629287412 directly on the NPPES registry website.