Active NPIOrganization

Jersey Smile Dental, LLC

Clinic/Center, Dental in Spotswood, New Jersey

NPI Number1982014114
Practice location
407 Main St, Spotswood, NJ 08884-1739
Fax
732-387-2561
Last updated
April 28, 2014

Jersey Smile Dental, LLC is a healthcare organization based in Spotswood, NJ. Jersey Smile Dental, LLC practices in Spotswood, NJ. The NPI Number for Jersey Smile Dental, LLC is 1982014114 and holds a License No. 22DI02322000 (NJ). The current practice location address for Jersey Smile Dental, LLC is 407 Main St, Spotswood, NJ 08884-1739 and can be reached out via phone at 732-387-2360 and via fax at 732-387-2561.

Provider Profile Details

NPI Number
1982014114
Provider Name
Jersey Smile Dental, LLC
Provider Entity Type
Organization
Address
407 Main St, Spotswood, NJ 08884-1739
Phone Number
732-387-2360
Fax Number
732-387-2561
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Svetlana Konstantinova, DDS · Co-Owner/Dentist · 732-387-2360
Provider Enumeration Date
April 28, 2014
Last Update Date
April 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
407 Main St
Spotswood, NJ 08884-1739
Zip
08884-1739
Phone Number
732-387-2360
Fax Number
732-387-2561
Spotswood, NJ 08884Get directions →

Provider Business Mailing Address Details

Address
407 Main St
Spotswood, NJ 08884-1739
City
Spotswood
State
NJ
Zip
08884-1739
Phone Number
732-387-2360
Fax Number
732-387-2561

License Information

License Number
22DI02322000
License State
NJ
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Jersey Smile Dental, LLC?

The NPI number of Jersey Smile Dental, LLC is 1982014114. It was assigned on April 28, 2014 and is currently active in the NPPES registry.

What is the specialty of Jersey Smile Dental, LLC?

Jersey Smile Dental, LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in NJ under license number 22DI02322000.

Where does Jersey Smile Dental, LLC practice?

The practice location is 407 Main St, Spotswood, NJ 08884-1739. The office can be reached at 732-387-2360 (phone) or 732-387-2561 (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 1982014114 directly on the NPPES registry website.

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