Serena D Thomas, DMD
Dentist in Old Tappan, New Jersey
1689952202- Practice location
- 175 Old Tappan RD, Old Tappan, NJ 07675-7042
- Phone
- 201-768-7100
- Fax
- —
- Last updated
- October 6, 2020
Serena D Thomas is a Dentist based in Old Tappan, NJ. Serena D Thomas practices in Old Tappan, NJ and has the professional credentials of DMD. The NPI Number for Serena D Thomas is 1689952202 and holds a License No. 22DI02501800 (NJ). The current practice location address for Serena D Thomas is 175 Old Tappan RD, Old Tappan, NJ 07675-7042 and can be reached out via phone at 201-768-7100.
Provider Profile Details
- NPI Number
- 1689952202
- Provider Name
- Serena D Thomas
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 175 Old Tappan RD, Old Tappan, NJ 07675-7042
- Phone Number
- 201-768-7100
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Other Names
- Serena D Jacob, DMD (Former Name)
- Provider Enumeration Date
- July 31, 2011
- Last Update Date
- October 6, 2020
- Certification Date
- October 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Old Tappan RD
Old Tappan, NJ 07675-7042 - City
- Old Tappan
- State
- New Jersey
- Zip
- 07675-7042
- Phone Number
- 201-768-7100
Provider Business Mailing Address Details
- Address
- 175 Old Tappan RD
Old Tappan, NJ 07675-7042 - City
- Old Tappan
- State
- NJ
- Zip
- 07675-7042
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02501800
- License State (2)
- NJ
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Old Tappan, NJ
View all Dentists in Old Tappan →Frequently Asked Questions
What is the NPI number of Serena D Thomas, DMD?
The NPI number of Serena D Thomas, DMD is 1689952202. It was assigned on July 31, 2011 and is currently active in the NPPES registry.
What is the specialty of Serena D Thomas, DMD?
Serena D Thomas, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02501800.
Where does Serena D Thomas, DMD practice?
The practice location is 175 Old Tappan RD, Old Tappan, NJ 07675-7042. The office can be reached at 201-768-7100 (phone).
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 1689952202 directly on the NPPES registry website.