RUTGERS SCHOOL OF DENTAL MEDICINE NPI 1255544961

NPI Information

NPI: 1255544961
Provider Name: RUTGERS SCHOOL OF DENTAL MEDICINE

Doing Business As: UNIVERSITY DENTAL CENTER AT GALLOWAY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4 E JIMMIE LEEDS RD
SUITE 6
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-0501
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RUTGERS SCHOOL OF DENTAL MEDICINE is a dental clinic center in Galloway, NJ. RUTGERS SCHOOL OF DENTAL MEDICINE NPI is 1255544961. The provider is registered as an organization entity type.
The provider Is Doing Business As University Dental Center At Galloway.

The provider's business location address is:

4 E JIMMIE LEEDS RD
SUITE 6
GALLOWAY, NJ
ZIP 08205-465
Phone: (609) 652-0501
Fax: (609) 652-1105

The provider's authorized official is Nicholas Depinto .
The authorized official title is Dental Director and has the following contact phone number (609) 652-0501.

The CLIA number assigned to this NPI record is 31D2171436 - other - dental school clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 5/8/2014.

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
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0027073	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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