First Mountain Dental Group P.C. in Montclair - General Practice
First Mountain Dental Group P.C. - NPI 1477670206
First Mountain Dental Group P.C. is a General Practice in Montclair, New Jersey. First Mountain Dental Group P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for First Mountain Dental Group P.C. is 1477670206. The last update date is 2015-08-31.
First Mountain Dental Group P.C.'s current location address is 31 S Fullerton Ave, Montclair, New Jersey. You can contact this provider via phone number 9737467771 and fax number 9737462177. The mailing address for First Mountain Dental Group P.C. is 31 S Fullerton Ave, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | First Mountain Dental Group P.C. |
|---|---|
| Address | 31 S Fullerton Ave, Montclair, New Jersey |
| Phone Number | 9737467771 |
| Fax Number | 9737462177 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trichas Konstantine |
| Credentials | DDS |
| Telephone Number | 9737467771 |
NPI Number Detail
| NPI Number | 1477670206 |
|---|---|
| Provider Enumeration Date | 2007-03-25 |
| Last Updated Date | 2015-08-31 |
Provider Mailing Address Detail
| Address | 31 S Fullerton Ave |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70423455 |
| Phone Number | 9737467771 |
| Fax Number | 9737462177 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22DI01960400 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to First Mountain Dental Group P.C. by the Centers for Medicare & Medicaid Services?
The First Mountain Dental Group P.C. has been assigned the NPI (National Provider Identifier) 1477670206. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of First Mountain Dental Group P.C.?
The First Mountain Dental Group P.C. is situated at 31 S Fullerton Ave, in the city of Montclair, state of NJ, with the zip code 70423455.
What is the First Mountain Dental Group P.C.'s specialty and taxonomy code?
The First Mountain Dental Group P.C.'s specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1477670206 assigned to First Mountain Dental Group P.C.?
The First Mountain Dental Group P.C. was issued its 1477670206 on 2007-03-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding First Mountain Dental Group P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to First Mountain Dental Group P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-31.