DENTAL STAR NPI 1942471586

NPI Information

NPI: 1942471586
Provider Name: DENTAL STAR
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
74 PHILLIP LN
MANALAPAN, NJ
ZIP 07726
Phone: (732) 972-7770
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DENTAL STAR is a dental clinic center in Manalapan, NJ. DENTAL STAR NPI is 1942471586. The provider is registered as an organization entity type.

The provider's business location address is:

74 PHILLIP LN
MANALAPAN, NJ
ZIP 07726-335
Phone: (732) 972-7770
Fax: (732) 972-7705

The provider's authorized official is Vladimir Potepalov .
The authorized official title is Dentist and has the following contact phone number (732) 972-7770.

The enumeration date for this NPI number is 3/21/2008 and was last updated on 4/1/2008.

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
1	261QD0000X	Clinic/Center	Dental	22DI02284000	NEW JERSEY	Yes

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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