Edward Jay Smith is a Dentist in Randolph, New Jersey. Edward Jay Smith practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Jay Smith is 1720116296. The last update date is 2007-07-08.
Edward Jay Smith's current location address is 2 W Hanover Ave, Randolph, New Jersey. You can contact this provider via phone number 9738955111 and fax number 9738955142. The mailing address for Edward Jay Smith is 2 W Hanover Ave, Randolph, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Jay Smith |
|---|---|
| Address | 2 W Hanover Ave, Randolph, New Jersey |
| Phone Number | 9738955111 |
| Fax Number | 9738955142 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1720116296 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2 W Hanover Ave |
|---|---|
| City | Randolph |
| State | New Jersey (NJ) |
| Post Code | 78694222 |
| Phone Number | 9738955111 |
| Fax Number | 9738955142 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DI14801 |
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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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What is the unique 10-digit identifier code issued to Edward Jay Smith by the Centers for Medicare & Medicaid Services?
The Edward Jay Smith has been assigned the NPI (National Provider Identifier) 1720116296 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Edward Jay Smith is geographically located?
The Edward Jay Smith is physically situated at the following location: 2 W Hanover Ave, Randolph, NJ, 78694222.
What is the Edward Jay Smith's area of specialization and corresponding taxonomy classification?
The Edward Jay Smith's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720116296 to Edward Jay Smith?
The Centers for Medicare & Medicaid Services originally issued the 1720116296 to Edward Jay Smith on 2007-02-28.
When was the Edward Jay Smith's information last updated?
The Edward Jay Smith's information was last updated on 2007-07-08.
NPI Number: 1982607784
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