Active NPIIndividual providerSole proprietor

Paul A Dimitrey, DDS

Dentist, General Practice in Newark, New Jersey

NPI Number1730685322
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
January 13, 2021

Paul Amil Dimitrey is a Dentist, General Practice based in Newark, NJ. Paul Amil Dimitrey practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Paul Amil Dimitrey is 1730685322 and holds a License No. 22DI02756700 (NJ). The current practice location address for Paul Amil Dimitrey is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7143.

Provider Profile Details

NPI Number
1730685322
Provider Name
Paul Amil Dimitrey
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7143
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2018
Last Update Date
January 13, 2021
Certification Date
January 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7143
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
387 Broadway
Bayonne, NJ 07002-3659
City
Bayonne
State
NJ
Zip
07002-3659
Phone Number
201-463-5144

License Information

License Number (2)
22DI02756700
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Paul A Dimitrey, DDS?

The NPI number of Paul A Dimitrey, DDS is 1730685322. It was assigned on April 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Paul A Dimitrey, DDS?

Paul A Dimitrey, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02756700.

Where does Paul A Dimitrey, DDS practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7143 (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 1730685322 directly on the NPPES registry website.

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