South Orange Dental Center, P.A. in South Orange - Pediatric Dentistry
South Orange Dental Center, P.A. - NPI 1568591162
South Orange Dental Center, P.A. is a Pediatric Dentistry in South Orange, New Jersey. South Orange Dental Center, P.A. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for South Orange Dental Center, P.A. is 1568591162. The last update date is 2020-08-22.
South Orange Dental Center, P.A.'s current location address is 481 S Orange Ave, South Orange, New Jersey. You can contact this provider via phone number 9737622660 and fax number 9737625473. The mailing address for South Orange Dental Center, P.A. is 481 S Orange Ave, South Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Orange Dental Center, P.A. |
|---|---|
| Address | 481 S Orange Ave, South Orange, New Jersey |
| Phone Number | 9737622660 |
| Fax Number | 9737625473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rosemond Haniel |
| Credentials | DDS |
| Telephone Number | 9737622660 |
NPI Number Detail
| NPI Number | 1568591162 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 481 S Orange Ave |
|---|---|
| City | South Orange |
| State | New Jersey (NJ) |
| Post Code | 70792642 |
| Phone Number | 9737622660 |
| Fax Number | 9737625473 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 17250 |
|
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Orange Dental Center, P.A. by the Centers for Medicare & Medicaid Services?
The South Orange Dental Center, P.A. has been issued the NPI (National Provider Identifier) 1568591162, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where South Orange Dental Center, P.A. is located?
The South Orange Dental Center, P.A. is situated at the following address: 481 S Orange Ave, South Orange, NJ, 70792642.
What is the South Orange Dental Center, P.A.'s specialty and taxonomy code?
The South Orange Dental Center, P.A.'s specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568591162 to South Orange Dental Center, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1568591162 to South Orange Dental Center, P.A. on 2007-03-02.
As of what date were the details pertaining to South Orange Dental Center, P.A. last refreshed?
The information related to the South Orange Dental Center, P.A., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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