Active NPIIndividual provider

Dr. Nicholas A Avianto, DMD

Dentist, Pediatric Dentistry in Bloomfield, New Jersey

NPI Number1831758663
Practice location
301 Belleville Ave, Bloomfield, NJ 07003-3647
Fax
—
Last updated
January 17, 2023

Nicholas Anthony Avianto is a Dentist, Pediatric Dentistry based in Bloomfield, NJ. 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. 22DI02859400 (NJ). The current practice location address for Nicholas Anthony Avianto is 301 Belleville Ave, Bloomfield, NJ 07003-3647 and can be reached out via phone at 551-227-2551.

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 07003-3647
Phone Number
551-227-2551
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2019
Last Update Date
January 17, 2023
Certification Date
January 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Belleville Ave
Bloomfield, NJ 07003-3647
Zip
07003-3647
Phone Number
551-227-2551
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
56 Rodney Pl
Demarest, NJ 07627-1625
City
Demarest
State
NJ
Zip
07627-1625
Phone Number
201-655-4122

License Information

License Number (2)
22DI02859400
License State (2)
NJ
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · 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 Dr. Nicholas A Avianto, DMD?

The NPI number of Dr. Nicholas A Avianto, DMD is 1831758663. It was assigned on June 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas A Avianto, DMD?

Dr. Nicholas A Avianto, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02859400.

Where does Dr. Nicholas A Avianto, DMD practice?

The practice location is 301 Belleville Ave, Bloomfield, NJ 07003-3647. The office can be reached at 551-227-2551 (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 1831758663 directly on the NPPES registry website.

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