Active NPIOrganization

Old Bridge Family Orthodontics LLC

Dentist, Orthodontics and Dentofacial Orthopedics in Old Bridge, New Jersey

NPI Number1730406109
Practice location
28 Throckmorton Ln, Suite 104, Old Bridge, NJ 08857-2558
Fax
732-679-5522
Last updated
April 26, 2010

Old Bridge Family Orthodontics LLC is a healthcare organization based in Old Bridge, NJ. Old Bridge Family Orthodontics LLC practices in Old Bridge, NJ. The NPI Number for Old Bridge Family Orthodontics LLC is 1730406109 and holds a License No. 22DIO46000 (NJ). The current practice location address for Old Bridge Family Orthodontics LLC is 28 Throckmorton Ln, Suite 104, Old Bridge, NJ 08857-2558 and can be reached out via phone at 732-727-6666 and via fax at 732-679-5522.

Provider Profile Details

NPI Number
1730406109
Provider Name
Old Bridge Family Orthodontics LLC
Provider Entity Type
Organization
Address
28 Throckmorton Ln, Suite 104, Old Bridge, NJ 08857-2558
Phone Number
732-727-6666
Fax Number
732-679-5522
Organization Subpart
No
Authorized Official
Virgil Jason Vives, DDS · Orthodontist · 732-727-6666
Provider Enumeration Date
April 26, 2010
Last Update Date
April 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Throckmorton Ln
Suite 104
Old Bridge, NJ 08857-2558
Zip
08857-2558
Phone Number
732-727-6666
Fax Number
732-679-5522
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
28 Throckmorton Ln
Suite 104
Old Bridge, NJ 08857-2558
City
Old Bridge
State
NJ
Zip
08857-2558
Phone Number
732-727-6666
Fax Number
732-679-5522

License Information

License Number
22DIO46000
License State
NJ
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Old Bridge Family Orthodontics LLC?

The NPI number of Old Bridge Family Orthodontics LLC is 1730406109. It was assigned on April 26, 2010 and is currently active in the NPPES registry.

What is the specialty of Old Bridge Family Orthodontics LLC?

Old Bridge Family Orthodontics LLC is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DIO46000.

Where does Old Bridge Family Orthodontics LLC practice?

The practice location is 28 Throckmorton Ln, Suite 104, Old Bridge, NJ 08857-2558. The office can be reached at 732-727-6666 (phone) or 732-679-5522 (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 1730406109 directly on the NPPES registry website.

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