INNOVA DENTAL SERVICES LLC NPI 1275098881

NPI Information

  • NPI: 1275098881
  • Provider Name: INNOVA DENTAL SERVICES LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 155 S NEW PROSPECT RD
    JACKSON, NJ
    ZIP 08527
  • Phone: (732) 364-1700

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NPI Details

INNOVA DENTAL SERVICES LLC is a dental clinic center in Jackson, NJ. INNOVA DENTAL SERVICES LLC NPI is 1275098881. The provider is registered as an organization entity type.

The provider's business location address is:

155 S NEW PROSPECT RD
JACKSON, NJ
ZIP 08527-734
Phone: (732) 364-1700
Fax: (732) 364-0870

The provider's authorized official is Jeffrey T Rothstein .
The authorized official title is Dentist and has the following contact phone number (732) 364-1700.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 2/7/2019.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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