Active NPIOrganization

Woodland Park Dentistry, LLC

Clinic/Center, Dental in Woodland Park, New Jersey

NPI Number1720585318
Practice location
279 Browertown RD Ste 104, Woodland Park, NJ 07424-2663
Fax
—
Last updated
April 10, 2018

Woodland Park Dentistry, LLC is a healthcare organization based in Woodland Park, NJ. Woodland Park Dentistry, LLC practices in Woodland Park, NJ. The NPI Number for Woodland Park Dentistry, LLC is 1720585318 and holds a License No. 22DI02504800 (NJ). The current practice location address for Woodland Park Dentistry, LLC is 279 Browertown RD Ste 104, Woodland Park, NJ 07424-2663 and can be reached out via phone at 973-256-3366.

Provider Profile Details

NPI Number
1720585318
Provider Name
Woodland Park Dentistry, LLC
Provider Entity Type
Organization
Address
279 Browertown RD Ste 104, Woodland Park, NJ 07424-2663
Phone Number
973-256-3366
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Rimma Chernyakhovskaya Silva, DDS · Managing Member · 201-446-0232
Provider Enumeration Date
April 10, 2018
Last Update Date
April 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
279 Browertown RD Ste 104
Woodland Park, NJ 07424-2663
Zip
07424-2663
Phone Number
973-256-3366
Woodland Park, NJ 07424Get directions →

Provider Business Mailing Address Details

Address
12 Weston CT
Wayne, NJ 07470-6548
City
Wayne
State
NJ
Zip
07470-6548
Phone Number
201-446-0232

License Information

License Number
22DI02504800
License State
NJ
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Woodland Park Dentistry, LLC?

The NPI number of Woodland Park Dentistry, LLC is 1720585318. It was assigned on April 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Woodland Park Dentistry, LLC?

Woodland Park Dentistry, LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in NJ under license number 22DI02504800.

Where does Woodland Park Dentistry, LLC practice?

The practice location is 279 Browertown RD Ste 104, Woodland Park, NJ 07424-2663. The office can be reached at 973-256-3366 (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 1720585318 directly on the NPPES registry website.

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