New Jersey Mobile Dental Practice, P.A. in Wyckoff - Dentist
New Jersey Mobile Dental Practice, P.A. - NPI 1447379102
New Jersey Mobile Dental Practice, P.A. is a Dentist in Wyckoff, New Jersey. New Jersey Mobile Dental Practice, P.A. practices all healthcare services and medical treatments related to Dentist. The NPI Number for New Jersey Mobile Dental Practice, P.A. is 1447379102. The last update date is 2020-08-22.
New Jersey Mobile Dental Practice, P.A.'s current location address is 637 Wyckoff Ave, Wyckoff, New Jersey. You can contact this provider via phone number 7324317577 and fax number 7324318070. The mailing address for New Jersey Mobile Dental Practice, P.A. is 637 Wyckoff Ave, Wyckoff, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Jersey Mobile Dental Practice, P.A. |
|---|---|
| Address | 637 Wyckoff Ave, Wyckoff, New Jersey |
| Phone Number | 7324317577 |
| Fax Number | 7324318070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Beukas A Stephen |
| Credentials | D.M.D. |
| Telephone Number | 7324317577 |
NPI Number Detail
| NPI Number | 1447379102 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 637 Wyckoff Ave |
|---|---|
| City | Wyckoff |
| State | New Jersey (NJ) |
| Post Code | 74811438 |
| Phone Number | 7324317577 |
| Fax Number | 7324318070 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DI018346 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6516301 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to New Jersey Mobile Dental Practice, P.A. by the Centers for Medicare & Medicaid Services?
The New Jersey Mobile Dental Practice, P.A. has been assigned the NPI (National Provider Identifier) 1447379102 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where New Jersey Mobile Dental Practice, P.A. is physically located?
The New Jersey Mobile Dental Practice, P.A. is situated at the following address: 637 Wyckoff Ave, Wyckoff, NJ 74811438.
What is New Jersey Mobile Dental Practice, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The New Jersey Mobile Dental Practice, P.A.'s specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447379102 to New Jersey Mobile Dental Practice, P.A.?
The New Jersey Mobile Dental Practice, P.A. received its 1447379102 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the details related to New Jersey Mobile Dental Practice, P.A. most recently updated or revised?
The information pertaining to New Jersey Mobile Dental Practice, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1184622524
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA