Kennedy Dental Center Pa in Union City - Dentist

Kennedy Dental Center Pa - NPI 1063402683

Kennedy Dental Center Pa is a Dentist in Union City, New Jersey. Kennedy Dental Center Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kennedy Dental Center Pa is 1063402683. The last update date is 2008-01-09.

Kennedy Dental Center Pa's current location address is 3196 Kennedy Blvd, Union City, New Jersey. You can contact this provider via phone number 2013308400 and fax number 2013300173. The mailing address for Kennedy Dental Center Pa is 3196 Kennedy Blvd, Union City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kennedy Dental Center Pa
Address 3196 Kennedy Blvd, Union City, New Jersey
Phone Number 2013308400
Fax Number 2013300173
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PRES
Authorized Official Name Savalia Naynesh
Credentials DMD
Telephone Number 2013308400

NPI Number Detail

NPI Number 1063402683
Provider Enumeration Date 2005-10-25
Last Updated Date 2008-01-09

Provider Mailing Address Detail

Address 3196 Kennedy Blvd
City Union City
State New Jersey (NJ)
Post Code 70872436
Phone Number 2013308400
Fax Number 2013300173

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DI020821
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
8800502 NJ --

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FAQs about Kennedy Dental Center Pa

What is the unique identification code assigned to Kennedy Dental Center Pa by the Centers for Medicare & Medicaid Services?

The Kennedy Dental Center Pa has been issued the NPI (National Provider Identifier) 1063402683. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kennedy Dental Center Pa is physically located?

The Kennedy Dental Center Pa is physically situated at the following address: 3196 Kennedy Blvd, Union City, NJ, 70872436.

What is Kennedy Dental Center 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 Kennedy Dental Center 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 assign the 1063402683 to Kennedy Dental Center Pa?

The Centers for Medicare & Medicaid Services assigned the 1063402683 to Kennedy Dental Center Pa on 2005-10-25.

When was the information regarding Kennedy Dental Center Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kennedy Dental Center Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-09.

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