Willowbrook Mall Dental, Pa in Wayne - General Practice
Willowbrook Mall Dental, Pa - NPI 1174685713
Willowbrook Mall Dental, Pa is a General Practice in Wayne, New Jersey. Willowbrook Mall Dental, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Willowbrook Mall Dental, Pa is 1174685713. The last update date is 2020-08-22.
Willowbrook Mall Dental, Pa's current location address is 1445 Willowbrook Blvd, Wayne, New Jersey. You can contact this provider via phone number 9738124426 and fax number 9738124405. The mailing address for Willowbrook Mall Dental, Pa is 1445 Willowbrook Blvd, Wayne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowbrook Mall Dental, Pa |
|---|---|
| Address | 1445 Willowbrook Blvd, Wayne, New Jersey |
| Phone Number | 9738124426 |
| Fax Number | 9738124405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mikhailov Alexander |
| Telephone Number | 9738124266 |
NPI Number Detail
| NPI Number | 1174685713 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1445 Willowbrook Blvd |
|---|---|
| City | Wayne |
| State | New Jersey (NJ) |
| Post Code | 7470 |
| Phone Number | 9738124426 |
| Fax Number | 9738124405 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19779 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8345201 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Willowbrook Mall Dental, Pa by the Centers for Medicare & Medicaid Services?
The Willowbrook Mall Dental, Pa has been issued the NPI (National Provider Identifier) 1174685713 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Willowbrook Mall Dental, Pa's facilities are geographically located?
The facilities of Willowbrook Mall Dental, Pa are physically situated at the following location: 1445 Willowbrook Blvd, Wayne, NJ, 7470.
What is the area of specialization for Willowbrook Mall Dental, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Willowbrook Mall Dental, Pa is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did the Willowbrook Mall Dental, Pa receive its 1174685713?
The Willowbrook Mall Dental, Pa was issued its 1174685713 on 2006-12-13, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Willowbrook Mall Dental, Pa most recently updated or revised?
The details related to Willowbrook Mall Dental, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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