Eden Baluyote Vincent in West Orange - General Practice
Eden Baluyote Vincent - NPI 1063562783
Eden Baluyote Vincent is a General Practice in West Orange, New Jersey. Eden Baluyote Vincent practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eden Baluyote Vincent is 1063562783. The last update date is 2007-07-08.
Eden Baluyote Vincent's current location address is 508 Pleasant Valley Way, West Orange, New Jersey. You can contact this provider via phone number 9737310087 and fax number 9737310024. The mailing address for Eden Baluyote Vincent is 508 Pleasant Valley Way, West Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eden Baluyote Vincent |
|---|---|
| Address | 508 Pleasant Valley Way, West Orange, New Jersey |
| Phone Number | 9737310087 |
| Fax Number | 9737310024 |
| Sole Proprietor | N |
| Credentials | DMD LLC |
NPI Number Detail
| NPI Number | 1063562783 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 508 Pleasant Valley Way |
|---|---|
| City | West Orange |
| State | New Jersey (NJ) |
| Post Code | 7052 |
| Phone Number | 9737310087 |
| Fax Number | 9737310024 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DI17900 |
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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 identification code assigned to Eden Baluyote Vincent by the Centers for Medicare & Medicaid Services?
The Eden Baluyote Vincent has been issued the NPI (National Provider Identifier) 1063562783. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eden Baluyote Vincent's physical address?
The Eden Baluyote Vincent is physically located at 508 Pleasant Valley Way, in the city of West Orange, NJ, with the postal code 7052.
What is Eden Baluyote Vincent's area of expertise and its corresponding taxonomy classification?
The Eden Baluyote Vincent's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did Eden Baluyote Vincent receive its 1063562783 assignment?
The Eden Baluyote Vincent was assigned its 1063562783 on 2007-01-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Eden Baluyote Vincent most recently updated or revised?
The information pertaining to Eden Baluyote Vincent, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.