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CRESTWOOD FAMILY DENTAL NPI 1215913900


NPI Information

NPI: 1215913900
Provider Name: CRESTWOOD FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
70 LACEY RD
WHITING, NJ
ZIP 08759
Phone: (732) 350-7999
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CRESTWOOD FAMILY DENTAL is a general practice dentist in Whiting, 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. CRESTWOOD FAMILY DENTAL NPI is 1215913900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

70 LACEY RD
WHITING, NJ
ZIP 08759-931
Phone: (732) 350-7999
Fax: (732) 350-7961

The provider's authorized official is Edward Poller .
The authorized official title is President and has the following contact phone number (732) 914-1039.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 1/3/2008.


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
11223G0001XDentistGeneral PracticeYes

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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