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CLOSTER DENTAL PC NPI 1578677092


NPI Information

NPI: 1578677092
Provider Name: CLOSTER DENTAL PC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
570 PIERMONT RD
#C1
CLOSTER, NJ
ZIP 07624
Phone: (201) 666-2828
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CLOSTER DENTAL PC is a prosthodontics dentist in Closter, NJ. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. CLOSTER DENTAL PC NPI is 1578677092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

570 PIERMONT RD
#C1
CLOSTER, NJ
ZIP 07624
Phone: (201) 666-2828
Fax: (201) 750-2314

The provider's authorized official is Sung Rae Kim .
The authorized official title is President and has the following contact phone number (201) 666-2828.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/22/2020.


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
11223P0700XDentistProsthodonticsDI19751NEW 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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