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ROCKAWAY FAMILY DENTAL LLC. NPI 1003059965


NPI Information

NPI: 1003059965
Provider Name: ROCKAWAY FAMILY DENTAL LLC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
200 E MAIN ST STE A&B
ROCKAWAY, NJ
ZIP 07866
Phone: (973) 784-4749
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ROCKAWAY FAMILY DENTAL LLC. is a general practice dentist in Rockaway, NJ. The provider is 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. ROCKAWAY FAMILY DENTAL LLC. NPI is 1003059965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 E MAIN ST STE A&B
ROCKAWAY, NJ
ZIP 07866-614
Phone: (973) 784-4749
Fax: (973) 784-4537

The provider's authorized official is Weimin Jin .
The authorized official title is Owner and has the following contact phone number (973) 784-4749.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 4/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics22DI02289200NEW JERSEYNo
21223G0001XDentistGeneral Practice22DI02217100NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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