Active NPIOrganization

Pequannock Valley Dental Associates

Dentist, General Practice in Pompton Plains, New Jersey

NPI Number1770779902
Practice location
567 Newark Pompton Tpke, Pompton Plains, NJ 07444-1737
Fax
973-831-7770
Last updated
September 20, 2007

Pequannock Valley Dental Associates is a healthcare organization based in Pompton Plains, NJ. Pequannock Valley Dental Associates practices in Pompton Plains, NJ. The NPI Number for Pequannock Valley Dental Associates is 1770779902 and holds a License No. 22DI02208900 (NJ). The current practice location address for Pequannock Valley Dental Associates is 567 Newark Pompton Tpke, Pompton Plains, NJ 07444-1737 and can be reached out via phone at 973-831-0444 and via fax at 973-831-7770.

Provider Profile Details

NPI Number
1770779902
Provider Name
Pequannock Valley Dental Associates
Provider Entity Type
Organization
Address
567 Newark Pompton Tpke, Pompton Plains, NJ 07444-1737
Phone Number
973-831-0444
Fax Number
973-831-7770
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Brian M Marino, DMD · Owner · 973-831-0444
Provider Enumeration Date
September 20, 2007
Last Update Date
September 20, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
567 Newark Pompton Tpke
Pompton Plains, NJ 07444-1737
Zip
07444-1737
Phone Number
973-831-0444
Fax Number
973-831-7770
Pompton Plains, NJ 07444Get directions →

Provider Business Mailing Address Details

Address
567 Newark Pompton Tpke
Pompton Plains, NJ 07444-1737
City
Pompton Plains
State
NJ
Zip
07444-1737
Phone Number
973-831-0444
Fax Number
973-831-7770

License Information

License Number
22DI02208900
License State
NJ
Taxonomy
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 Pequannock Valley Dental Associates?

The NPI number of Pequannock Valley Dental Associates is 1770779902. It was assigned on September 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Pequannock Valley Dental Associates?

Pequannock Valley Dental Associates is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02208900.

Where does Pequannock Valley Dental Associates practice?

The practice location is 567 Newark Pompton Tpke, Pompton Plains, NJ 07444-1737. The office can be reached at 973-831-0444 (phone) or 973-831-7770 (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 1770779902 directly on the NPPES registry website.

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