Jorge A. Bastidas in Cedar Grove - Dentist

Jorge A. Bastidas - NPI 1396869061

Jorge A. Bastidas is a Dentist in Cedar Grove, New Jersey. Jorge A. Bastidas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jorge A. Bastidas is 1396869061. The last update date is 2007-07-08.

Jorge A. Bastidas's current location address is 904 Pompton Ave, Cedar Grove, New Jersey. You can contact this provider via phone number 9738570222 and fax number 9738579508. The mailing address for Jorge A. Bastidas is 904 Pompton Ave, Cedar Grove, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jorge A. Bastidas
Address 904 Pompton Ave, Cedar Grove, New Jersey
Phone Number 9738570222
Fax Number 9738579508
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1396869061
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 904 Pompton Ave
City Cedar Grove
State New Jersey (NJ)
Post Code 70091262
Phone Number 9738570222
Fax Number 9738579508

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DI-017854
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Jorge A. Bastidas

What is the unique 10-digit identification code issued to Jorge A. Bastidas by the Centers for Medicare & Medicaid Services?

The Jorge A. Bastidas has been assigned the NPI (National Provider Identifier) 1396869061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Jorge A. Bastidas's facilities are geographically located?

The facilities of Jorge A. Bastidas are physically situated at the following location: 904 Pompton Ave, Cedar Grove, NJ, 70091262.

What is Jorge A. Bastidas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jorge A. Bastidas's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396869061 to Jorge A. Bastidas?

The Jorge A. Bastidas received its 1396869061 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.

As of what date was the information pertaining to Jorge A. Bastidas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jorge A. Bastidas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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