Active NPIIndividual providerSole proprietor

Dr. Charles T Loo, DMD, MSD

Dentist, Endodontics in Ridgewood, New Jersey

NPI Number1902986136
Practice location
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Fax
—
Last updated
July 8, 2007

Charles T. Loo is a Dentist, Endodontics based in Ridgewood, NJ. Charles T. Loo practices in Ridgewood, NJ and has the professional credentials of DMD, MSD. The NPI Number for Charles T. Loo is 1902986136 and holds a License No. 13408 (NJ). The current practice location address for Charles T. Loo is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 and can be reached out via phone at 201-447-4404.

Provider Profile Details

NPI Number
1902986136
Provider Name
Charles T. Loo
Credential
DMD, MSD
Provider Entity Type
Individual
Gender
Male
Address
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Phone Number
201-447-4404
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
October 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
201-447-4404
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
City
Ridgewood
State
NJ
Zip
07450-3957
Phone Number
201-447-4404

License Information

License Number
13408
License State
NJ
Taxonomy
Dentist, Endodontics · 1223E0200X · 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. Charles T Loo, DMD, MSD?

The NPI number of Dr. Charles T Loo, DMD, MSD is 1902986136. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles T Loo, DMD, MSD?

Dr. Charles T Loo, DMD, MSD is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NJ under license number 13408.

Where does Dr. Charles T Loo, DMD, MSD practice?

The practice location is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957. The office can be reached at 201-447-4404 (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 1902986136 directly on the NPPES registry website.

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