Active NPIOrganization

Grand Dental, PC

Dentist, General Practice in Englewood, New Jersey

NPI Number1821159302
Practice location
106 Grand Ave, 3RD Floor, Englewood, NJ 07631-3574
Fax
201-816-9552
Last updated
May 1, 2008

Grand Dental, PC is a healthcare organization based in Englewood, NJ. Grand Dental, PC practices in Englewood, NJ. The NPI Number for Grand Dental, PC is 1821159302 and holds a License No. DI021495 (NJ). The current practice location address for Grand Dental, PC is 106 Grand Ave, 3RD Floor, Englewood, NJ 07631-3574 and can be reached out via phone at 201-816-8696 and via fax at 201-816-9552.

Provider Profile Details

NPI Number
1821159302
Provider Name
Grand Dental, PC
Provider Entity Type
Organization
Address
106 Grand Ave, 3RD Floor, Englewood, NJ 07631-3574
Phone Number
201-816-8696
Fax Number
201-816-9552
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Gustavo A Garces, DMD · Owner · 201-816-8696
Provider Enumeration Date
December 12, 2006
Last Update Date
May 1, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
106 Grand Ave
3RD Floor
Englewood, NJ 07631-3574
Zip
07631-3574
Phone Number
201-816-8696
Fax Number
201-816-9552
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
106 Grand Ave
3RD Floor
Englewood, NJ 07631-3574
City
Englewood
State
NJ
Zip
07631-3574
Phone Number
201-816-8696
Fax Number
201-816-9552

License Information

License Number
DI021495
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 Grand Dental, PC?

The NPI number of Grand Dental, PC is 1821159302. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Grand Dental, PC?

Grand Dental, PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI021495.

Where does Grand Dental, PC practice?

The practice location is 106 Grand Ave, 3RD Floor, Englewood, NJ 07631-3574. The office can be reached at 201-816-8696 (phone) or 201-816-9552 (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 1821159302 directly on the NPPES registry website.

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