- Practice location
- 35 Jefferson Avenue, Elizabeth, NJ 07201-2425
- Phone
- 908-354-1188
- Fax
- 908-352-7390
- Last updated
- May 30, 2008
Herawati T Kandou DDS PA is a healthcare organization based in Elizabeth, NJ. Herawati T Kandou DDS PA practices in Elizabeth, NJ. The NPI Number for Herawati T Kandou DDS PA is 1871666586 and holds a License No. 3026 (NJ). The current practice location address for Herawati T Kandou DDS PA is 35 Jefferson Avenue, Elizabeth, NJ 07201-2425 and can be reached out via phone at 908-354-1188 and via fax at 908-352-7390.
Provider Profile Details
- NPI Number
- 1871666586
- Provider Name
- Herawati T Kandou DDS PA
- Provider Entity Type
- Organization
- Address
- 35 Jefferson Avenue, Elizabeth, NJ 07201-2425
- Phone Number
- 908-354-1188
- Fax Number
- 908-352-7390
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Herawati T Kandou, DDS · President Orthodontist · 908-354-1188
- Provider Enumeration Date
- November 17, 2006
- Last Update Date
- May 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Jefferson Avenue
Elizabeth, NJ 07201-2425 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07201-2425
- Phone Number
- 908-354-1188
- Fax Number
- 908-352-7390
Provider Business Mailing Address Details
- Address
- 35 Jefferson Avenue
Elizabeth, NJ 07201-2425 - City
- Elizabeth
- State
- NJ
- Zip
- 07201-2425
- Phone Number
- 908-354-1188
- Fax Number
- 908-352-7390
License Information
- License Number (1)
- 3026
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (2)
- 9708
- License State (2)
- NJ
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Elizabeth, NJ
View all Dentists in Elizabeth →Frequently Asked Questions
What is the NPI number of Herawati T Kandou DDS PA?
The NPI number of Herawati T Kandou DDS PA is 1871666586. It was assigned on November 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Herawati T Kandou DDS PA?
Herawati T Kandou DDS PA is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 3026.
Where does Herawati T Kandou DDS PA practice?
The practice location is 35 Jefferson Avenue, Elizabeth, NJ 07201-2425. The office can be reached at 908-354-1188 (phone) or 908-352-7390 (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 1871666586 directly on the NPPES registry website.