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Dr. Nicholas Anthony Avianto, DMD
Pediatric Dentist in Bloomfield, New Jersey
NPI 1831758663

Nicholas Anthony Avianto is a Pediatric Dentist based in Demarest, NJ and is specialized in Pediatric Dentistry. Nicholas Anthony Avianto practices in Bloomfield, NJ and has the professional credentials of DMD. The NPI Number for Nicholas Anthony Avianto is 1831758663 and holds a License No. (New Jersey).

The current practice location address for Nicholas Anthony Avianto is 301 Belleville Ave, Bloomfield, NJ and can be reached out via phone at 551-227-2551. You can also correspond with Nicholas Anthony Avianto through the mailing address at 56 RODNEY PL, DEMAREST, NJ - 07627-1625 (mailing address contact number: 201-655-4122).

Location: 301 Belleville Ave, Bloomfield, NJ, 07627-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831758663
Provider Name
Nicholas Anthony Avianto
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
301 Belleville Ave, Bloomfield, NJ, 07627-1625
Phone Number
551-227-2551
Fax Number
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Belleville Ave
City
Bloomfield
State
New Jersey
Zip
07003-3647
Phone Number
551-227-2551
Fax Number
person
Provider Business Mailing Address Details
Address
301 Belleville Ave
City
Bloomfield
State
New Jersey
Zip
07003-3647
Phone Number
551-227-2551
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02859400 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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