West Broadway Dental Pa in Paterson - Dentist

West Broadway Dental Pa - NPI 1801929591

West Broadway Dental Pa is a Dentist in Paterson, New Jersey. West Broadway Dental Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for West Broadway Dental Pa is 1801929591. The last update date is 2012-02-25.

West Broadway Dental Pa's current location address is 1 West Broadway, Paterson, New Jersey. You can contact this provider via phone number 9736843803 and fax number 9737428223. The mailing address for West Broadway Dental Pa is 1 West Broadway, Paterson, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization West Broadway Dental Pa
Address 1 West Broadway, Paterson, New Jersey
Phone Number 9736843803
Fax Number 9737428223
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PRES
Authorized Official Name Sherman Stephen
Credentials DDS
Telephone Number 9736843803

NPI Number Detail

NPI Number 1801929591
Provider Enumeration Date 2007-03-13
Last Updated Date 2012-02-25

Provider Mailing Address Detail

Address 1 West Broadway
City Paterson
State New Jersey (NJ)
Post Code 7505
Phone Number 9736843803
Fax Number 9737428223

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8378100 NJ --

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FAQs about West Broadway Dental Pa

What is the West Broadway Dental Pa's unique identification number?

The West Broadway Dental Pa has been assigned the NPI (National Provider Identifier) Number 1801929591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where West Broadway Dental Pa is geographically located?

The West Broadway Dental Pa is physically situated at the following location: 1 West Broadway, Paterson, NJ, 7505.

What is West Broadway Dental Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for West Broadway Dental Pa is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801929591 to West Broadway Dental Pa?

The Centers for Medicare & Medicaid Services originally issued the 1801929591 to West Broadway Dental Pa on 2007-03-13.

When was the information regarding West Broadway Dental Pa most recently updated?

The details pertaining to the West Broadway Dental Pa, including its address, specialty, and other relevant information, were last refreshed on 2012-02-25.

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