Ridgewood Dentistry, Llc in Ridgewood - Dentist
Ridgewood Dentistry, Llc - NPI 1093922700
Ridgewood Dentistry, Llc is a Dentist in Ridgewood, New Jersey. Ridgewood Dentistry, Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ridgewood Dentistry, Llc is 1093922700. The last update date is 2020-08-22.
Ridgewood Dentistry, Llc's current location address is 75 Chestnut St, Ridgewood, New Jersey. You can contact this provider via phone number 2014454808 and fax number 2014459081. The mailing address for Ridgewood Dentistry, Llc is 75 Chestnut St, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ridgewood Dentistry, Llc |
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Address | 75 Chestnut St, Ridgewood, New Jersey |
Phone Number | 2014454808 |
Fax Number | 2014459081 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Godart P Glenn |
Credentials | DMD |
Telephone Number | 2014454808 |
NPI Number Detail
NPI Number | 1093922700 |
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Provider Enumeration Date | 2007-05-16 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 75 Chestnut St |
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City | Ridgewood |
State | New Jersey (NJ) |
Post Code | 74502501 |
Phone Number | 2014454808 |
Fax Number | 2014459081 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 22DI01155300 |
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 Ridgewood Dentistry, Llc's unique identification number?
The Ridgewood Dentistry, Llc has been assigned the NPI (National Provider Identifier) Number 1093922700 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ridgewood Dentistry, Llc is physically located?
The Ridgewood Dentistry, Llc is physically situated at the following address: 75 Chestnut St, Ridgewood, NJ, 74502501.
What is Ridgewood Dentistry, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ridgewood Dentistry, Llc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did the Ridgewood Dentistry, Llc receive its 1093922700?
The Ridgewood Dentistry, Llc was issued its 1093922700 on 2007-05-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Ridgewood Dentistry, Llc most recently updated or revised?
The details related to Ridgewood Dentistry, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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