Active NPIOrganization

Canal Vista Family Dental, LLC

Dentist, General Practice in Princeton, New Jersey

NPI Number1780115220
Practice location
100 Canal Pointe Blvd, Suite 116, Princeton, NJ 08540-7063
Fax
609-452-1688
Last updated
March 26, 2017

Canal Vista Family Dental, LLC is a healthcare organization based in Princeton, NJ. Canal Vista Family Dental, LLC practices in Princeton, NJ. The NPI Number for Canal Vista Family Dental, LLC is 1780115220 and holds a License No. 22DI02466900 (NJ). The current practice location address for Canal Vista Family Dental, LLC is 100 Canal Pointe Blvd, Suite 116, Princeton, NJ 08540-7063 and can be reached out via phone at 609-452-8630 and via fax at 609-452-1688.

Provider Profile Details

NPI Number
1780115220
Provider Name
Canal Vista Family Dental, LLC
Provider Entity Type
Organization
Address
100 Canal Pointe Blvd, Suite 116, Princeton, NJ 08540-7063
Phone Number
609-452-8630
Fax Number
609-452-1688
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Nesrine Bestandji · Member · 908-400-2954
Provider Enumeration Date
March 26, 2017
Last Update Date
March 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Canal Pointe Blvd
Suite 116
Princeton, NJ 08540-7063
Zip
08540-7063
Phone Number
609-452-8630
Fax Number
609-452-1688
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
100 Canal Pointe Blvd
Suite 116
Princeton, NJ 08540-7063
City
Princeton
State
NJ
Zip
08540-7063
Phone Number
609-452-8630
Fax Number
609-452-1688

License Information

License Number
22DI02466900
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 Canal Vista Family Dental, LLC?

The NPI number of Canal Vista Family Dental, LLC is 1780115220. It was assigned on March 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Canal Vista Family Dental, LLC?

Canal Vista Family Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02466900.

Where does Canal Vista Family Dental, LLC practice?

The practice location is 100 Canal Pointe Blvd, Suite 116, Princeton, NJ 08540-7063. The office can be reached at 609-452-8630 (phone) or 609-452-1688 (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 1780115220 directly on the NPPES registry website.

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