Active NPIIndividual provider

Avi Israeli, DDS

Dentist, General Practice in Wall, New Jersey

NPI Number1962465112
Practice location
1520 Route 138, Wall, NJ 07719-3706
Fax
—
Last updated
June 27, 2012

Avi Israeli is a Dentist, General Practice based in Wall, NJ. Avi Israeli practices in Wall, NJ and has the professional credentials of DDS. The NPI Number for Avi Israeli is 1962465112 and holds a License No. 22212 (NJ). The current practice location address for Avi Israeli is 1520 Route 138, Wall, NJ 07719-3706 and can be reached out via phone at 732-528-6007.

Provider Profile Details

NPI Number
1962465112
Provider Name
Avi Israeli
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1520 Route 138, Wall, NJ 07719-3706
Phone Number
732-528-6007
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2006
Last Update Date
June 27, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1520 Route 138
Wall, NJ 07719-3706
City
Wall
Zip
07719-3706
Phone Number
732-528-6007
Wall, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
1520 Route 138
Wall, NJ 07719-3706
City
Wall
State
NJ
Zip
07719-3706

License Information

License Number
22212
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 Avi Israeli, DDS?

The NPI number of Avi Israeli, DDS is 1962465112. It was assigned on April 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Avi Israeli, DDS?

Avi Israeli, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22212.

Where does Avi Israeli, DDS practice?

The practice location is 1520 Route 138, Wall, NJ 07719-3706. The office can be reached at 732-528-6007 (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 1962465112 directly on the NPPES registry website.

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