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WILLOWBROOK MALL DENTAL PC NPI 1700876430


NPI Information

NPI: 1700876430
Provider Name: WILLOWBROOK MALL DENTAL PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1445 WILLOWBROOK MALL
WAYNE, NJ
ZIP 07470
Phone: (973) 812-4426
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WILLOWBROOK MALL DENTAL PC is a general practice dentist in Wayne, 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. WILLOWBROOK MALL DENTAL PC NPI is 1700876430. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1445 WILLOWBROOK MALL
WAYNE, NJ
ZIP 07470-905
Phone: (973) 812-4426
Fax: (973) 812-4405

The provider's authorized official is Babak Haghighi .
The authorized official title is Owner and has the following contact phone number (973) 812-4426.

The enumeration date for this NPI number is 10/25/2005 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
11223G0001XDentistGeneral Practice18863NEW 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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