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
Address 75 Chestnut St, Ridgewood, New Jersey
Phone Number 2014454808
Fax Number 2014459081
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Godart P Glenn
Credentials DMD
Telephone Number 2014454808

NPI Number Detail

NPI Number 1093922700
Provider Enumeration Date 2007-05-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 75 Chestnut St
City Ridgewood
State New Jersey (NJ)
Post Code 74502501
Phone Number 2014454808
Fax Number 2014459081

Provider's Primary Taxonomy Detail

Speciality Dentist
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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FAQs about Ridgewood Dentistry, Llc

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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