Active NPIIndividual provider

Elizabeth Clanaman

Dentist, Orthodontics and Dentofacial Orthopedics in Hackensack, New Jersey

NPI Number1821653056
Practice location
17 Summit Ave, Hackensack, NJ 07601-1218
Fax
—
Last updated
July 14, 2021

Elizabeth Clanaman is a Dentist, Orthodontics and Dentofacial Orthopedics based in Hackensack, NJ. Elizabeth Clanaman practices in Hackensack, NJ. The NPI Number for Elizabeth Clanaman is 1821653056 and holds a License No. 22DI02850400 (NJ). The current practice location address for Elizabeth Clanaman is 17 Summit Ave, Hackensack, NJ 07601-1218 and can be reached out via phone at 201-996-0770.

Provider Profile Details

NPI Number
1821653056
Provider Name
Elizabeth Clanaman
Provider Entity Type
Individual
Gender
Female
Address
17 Summit Ave, Hackensack, NJ 07601-1218
Phone Number
201-996-0770
Sole Proprietor
No
Provider Enumeration Date
May 2, 2019
Last Update Date
July 14, 2021
Certification Date
July 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Summit Ave
Hackensack, NJ 07601-1218
Zip
07601-1218
Phone Number
201-996-0770
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
3630 Daylilly Way
Huntingdon Valley, PA 19006-7766
City
Huntingdon Valley
State
PA
Zip
19006-7766
Phone Number
215-200-0474

License Information

License Number (2)
22DI02850400
License State (2)
NJ
Taxonomy (2)
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 Elizabeth Clanaman?

The NPI number of Elizabeth Clanaman is 1821653056. It was assigned on May 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Clanaman?

Elizabeth Clanaman is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DI02850400.

Where does Elizabeth Clanaman practice?

The practice location is 17 Summit Ave, Hackensack, NJ 07601-1218. The office can be reached at 201-996-0770 (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 1821653056 directly on the NPPES registry website.

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