Active NPIOrganization

Rejuvenate Dental Sleep Medicine

Dentist, General Practice in Glen Rock, New Jersey

NPI Number1851738736
Practice location
266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302
Fax
201-447-5762
Last updated
June 27, 2024

Rejuvenate Dental Sleep Medicine is a healthcare organization based in Glen Rock, NJ. Rejuvenate Dental Sleep Medicine practices in Glen Rock, NJ. The NPI Number for Rejuvenate Dental Sleep Medicine is 1851738736 and holds a License No. 22DI01825500 (NJ). The current practice location address for Rejuvenate Dental Sleep Medicine is 266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302 and can be reached out via phone at 201-652-0400 and via fax at 201-447-5762.

Provider Profile Details

NPI Number
1851738736
Provider Name
Rejuvenate Dental Sleep Medicine
Provider Entity Type
Organization
Address
266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mayra Modesto-Garrido, DDS · Dentist · 201-652-0400
Provider Enumeration Date
May 31, 2013
Last Update Date
June 27, 2024
Certification Date
June 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
266 Harristown RD
Suite 102
Glen Rock, NJ 07452-3302
Zip
07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
266 Harristown RD
Suite 102
Glen Rock, NJ 07452-3302
City
Glen Rock
State
NJ
Zip
07452-3302
Phone Number
201-652-0400
Fax Number
201-447-5762

License Information

License Number
22DI01825500
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 Rejuvenate Dental Sleep Medicine?

The NPI number of Rejuvenate Dental Sleep Medicine is 1851738736. It was assigned on May 31, 2013 and is currently active in the NPPES registry.

What is the specialty of Rejuvenate Dental Sleep Medicine?

Rejuvenate Dental Sleep Medicine is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01825500.

Where does Rejuvenate Dental Sleep Medicine practice?

The practice location is 266 Harristown RD, Suite 102, Glen Rock, NJ 07452-3302. The office can be reached at 201-652-0400 (phone) or 201-447-5762 (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 1851738736 directly on the NPPES registry website.

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