Active NPIOrganization

Family Dental Associates Of Brookdale, L.l.c.

Dentist in Bloomfield, New Jersey

NPI Number1871644419
Practice location
988 Broad St, Bloomfield, NJ 07003-2806
Fax
973-338-1856
Last updated
June 26, 2008

Family Dental Associates Of Brookdale, L.l.c. is a healthcare organization based in Bloomfield, NJ. Family Dental Associates Of Brookdale, L.l.c. practices in Bloomfield, NJ. The NPI Number for Family Dental Associates Of Brookdale, L.l.c. is 1871644419 and holds a License No. 21896 (NJ). The current practice location address for Family Dental Associates Of Brookdale, L.l.c. is 988 Broad St, Bloomfield, NJ 07003-2806 and can be reached out via phone at 973-338-6667 and via fax at 973-338-1856.

Provider Profile Details

NPI Number
1871644419
Provider Name
Family Dental Associates Of Brookdale, L.l.c.
Provider Entity Type
Organization
Address
988 Broad St, Bloomfield, NJ 07003-2806
Phone Number
973-338-6667
Fax Number
973-338-1856
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Michael S. Panitch, DMD · Member-Owner · 973-338-6667
Provider Enumeration Date
January 12, 2007
Last Update Date
June 26, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
988 Broad St
Bloomfield, NJ 07003-2806
Zip
07003-2806
Phone Number
973-338-6667
Fax Number
973-338-1856
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
988 Broad St
Bloomfield, NJ 07003-2806
City
Bloomfield
State
NJ
Zip
07003-2806
Phone Number
973-338-6667
Fax Number
973-338-1856

License Information

License Number
21896
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Family Dental Associates Of Brookdale, L.l.c.?

The NPI number of Family Dental Associates Of Brookdale, L.l.c. is 1871644419. It was assigned on January 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Family Dental Associates Of Brookdale, L.l.c.?

Family Dental Associates Of Brookdale, L.l.c. is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 21896.

Where does Family Dental Associates Of Brookdale, L.l.c. practice?

The practice location is 988 Broad St, Bloomfield, NJ 07003-2806. The office can be reached at 973-338-6667 (phone) or 973-338-1856 (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 1871644419 directly on the NPPES registry website.

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