Aba Pediatric, Llc in Jersey City - Pediatric Dentistry
Aba Pediatric, Llc - NPI 1568686384
Aba Pediatric, Llc is a Pediatric Dentistry in Jersey City, New Jersey. Aba Pediatric, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Aba Pediatric, Llc is 1568686384. The last update date is 2020-08-22.
Aba Pediatric, Llc's current location address is 35 Journal Sq, Jersey City, New Jersey. You can contact this provider via phone number 2013860353 and fax number 2013860356. The mailing address for Aba Pediatric, Llc is 35 Journal Sq, Jersey City, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aba Pediatric, Llc |
|---|---|
| Address | 35 Journal Sq, Jersey City, New Jersey |
| Phone Number | 2013860353 |
| Fax Number | 2013860356 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Shtilman Dmitry |
| Credentials | DDS |
| Telephone Number | 2013860353 |
NPI Number Detail
| NPI Number | 1568686384 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 35 Journal Sq |
|---|---|
| City | Jersey City |
| State | New Jersey (NJ) |
| Post Code | 73064011 |
| Phone Number | 2013860353 |
| Fax Number | 2013860356 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 22DI01990900 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7698704 | NJ | -- |
Post Comment/ Review Below
What is the Aba Pediatric, Llc's unique identification number?
The Aba Pediatric, Llc has been assigned the NPI (National Provider Identifier) Number 1568686384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Aba Pediatric, Llc?
The Aba Pediatric, Llc is situated at 35 Journal Sq, in the city of Jersey City, state of NJ, with the zip code 73064011.
What is Aba Pediatric, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Aba Pediatric, Llc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Aba Pediatric, Llc receive the assignment of its 1568686384 from the Centers for Medicare & Medicaid Services?
The Aba Pediatric, Llc was issued its 1568686384 by the Centers for Medicare & Medicaid Services on 2007-04-12.
When was the information pertaining to Aba Pediatric, Llc most recently updated or revised?
The details related to Aba Pediatric, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY