Active NPIOrganization

Precident Of New Jersey, LLC

Dentist, Oral and Maxillofacial Surgery in Clifton, New Jersey

NPI Number1699346437
Practice location
1135 Broad St Ste 100, Clifton, NJ 07013-3346
Fax
973-256-8066
Last updated
May 12, 2023

Precident Of New Jersey, LLC is a healthcare organization based in Clifton, NJ. Precident Of New Jersey, LLC practices in Clifton, NJ. The NPI Number for Precident Of New Jersey, LLC is 1699346437. The current practice location address for Precident Of New Jersey, LLC is 1135 Broad St Ste 100, Clifton, NJ 07013-3346 and can be reached out via phone at 973-256-0103 and via fax at 973-256-8066.

Provider Profile Details

NPI Number
1699346437
Provider Name
Precident Of New Jersey, LLC
Provider Entity Type
Organization
Address
1135 Broad St Ste 100, Clifton, NJ 07013-3346
Phone Number
973-256-0103
Fax Number
973-256-8066
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Dr. Scotty L Bolding, DDS, MS · Owner · 479-957-4611
Provider Enumeration Date
July 2, 2021
Last Update Date
May 12, 2023
Certification Date
May 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Broad St Ste 100
Clifton, NJ 07013-3346
Zip
07013-3346
Phone Number
973-256-0103
Fax Number
973-256-8066
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
Po Box 2714
Dept 2243
Conway, AR 72033-2714
City
Conway
State
AR
Zip
72033-2714
Phone Number
973-256-0103
Fax Number
973-256-8066

License Information

Taxonomy (1)
Oral & Maxillofacial Surgery · 204E00000X
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Precident Of New Jersey, LLC?

The NPI number of Precident Of New Jersey, LLC is 1699346437. It was assigned on July 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Precident Of New Jersey, LLC?

Precident Of New Jersey, LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).

Where does Precident Of New Jersey, LLC practice?

The practice location is 1135 Broad St Ste 100, Clifton, NJ 07013-3346. The office can be reached at 973-256-0103 (phone) or 973-256-8066 (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 1699346437 directly on the NPPES registry website.

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