Active NPIOrganization

Englewood Dental, PA

Dentist, General Practice in Englewood, New Jersey

NPI Number1891715330
Practice location
370 Grand Ave, Suite 200, Englewood, NJ 07631-4154
Fax
201-871-9096
Last updated
September 13, 2012

Englewood Dental, PA is a healthcare organization based in Englewood, NJ. Englewood Dental, PA practices in Englewood, NJ. The NPI Number for Englewood Dental, PA is 1891715330 and holds a License No. 13552 (NJ). The current practice location address for Englewood Dental, PA is 370 Grand Ave, Suite 200, Englewood, NJ 07631-4154 and can be reached out via phone at 201-871-3555 and via fax at 201-871-9096.

Provider Profile Details

NPI Number
1891715330
Provider Name
Englewood Dental, PA
Provider Entity Type
Organization
Address
370 Grand Ave, Suite 200, Englewood, NJ 07631-4154
Phone Number
201-871-3555
Fax Number
201-871-9096
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. John Carlo Minichetti, DMD · President · 201-871-3555
Provider Enumeration Date
July 20, 2006
Last Update Date
September 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
370 Grand Ave
Suite 200
Englewood, NJ 07631-4154
Zip
07631-4154
Phone Number
201-871-3555
Fax Number
201-871-9096
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
370 Grand Ave
Suite 200
Englewood, NJ 07631-4154
City
Englewood
State
NJ
Zip
07631-4154
Phone Number
201-871-3555
Fax Number
201-871-9096

License Information

License Number
13552
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 Englewood Dental, PA?

The NPI number of Englewood Dental, PA is 1891715330. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Englewood Dental, PA?

Englewood Dental, PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 13552.

Where does Englewood Dental, PA practice?

The practice location is 370 Grand Ave, Suite 200, Englewood, NJ 07631-4154. The office can be reached at 201-871-3555 (phone) or 201-871-9096 (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 1891715330 directly on the NPPES registry website.

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