Fort Lee Orthodontic Associates Pc in Fort Lee - Orthodontics And Dentofacial Orthopedics
Fort Lee Orthodontic Associates Pc - NPI 1033296959
Fort Lee Orthodontic Associates Pc is a Orthodontics And Dentofacial Orthopedics in Fort Lee, New Jersey. Fort Lee Orthodontic Associates Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Fort Lee Orthodontic Associates Pc is 1033296959. The last update date is 2020-08-22.
Fort Lee Orthodontic Associates Pc's current location address is 2185 Lemoine Ave, Fort Lee, New Jersey. You can contact this provider via phone number 2019449208 and fax number 2019443630. The mailing address for Fort Lee Orthodontic Associates Pc is 2185 Lemoine Ave, Fort Lee, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Lee Orthodontic Associates Pc |
|---|---|
| Address | 2185 Lemoine Ave, Fort Lee, New Jersey |
| Phone Number | 2019449208 |
| Fax Number | 2019443630 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Golub Ethan Jon |
| Credentials | D.M.D. |
| Telephone Number | 2019449208 |
NPI Number Detail
| NPI Number | 1033296959 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2185 Lemoine Ave |
|---|---|
| City | Fort Lee |
| State | New Jersey (NJ) |
| Post Code | 70246036 |
| Phone Number | 2019449208 |
| Fax Number | 2019443630 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code assigned to Fort Lee Orthodontic Associates Pc by the Centers for Medicare & Medicaid Services?
The Fort Lee Orthodontic Associates Pc has been issued the NPI (National Provider Identifier) 1033296959 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Fort Lee Orthodontic Associates Pc located?
The Fort Lee Orthodontic Associates Pc is located at 2185 Lemoine Ave, Fort Lee, NJ 70246036.
What is the Fort Lee Orthodontic Associates Pc's area of specialization and corresponding taxonomy classification?
The Fort Lee Orthodontic Associates Pc's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
When did Fort Lee Orthodontic Associates Pc receive its 1033296959 assignment?
The Fort Lee Orthodontic Associates Pc was assigned its 1033296959 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Fort Lee Orthodontic Associates Pc most recently updated or revised?
The information pertaining to Fort Lee Orthodontic Associates Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.