Moheisen, Islam

Moheisen, Islam is an individual health care provider with primary practice located at 89 N Maple Ave , Ridgewood NJ 07450-3235. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is his primary health care specialty. Moheisen, Islam can be contacted via phone (201) 797-8899.

Contact Information

Primary practice address
89 N Maple Ave Ridgewood NJ 07450-3235
Phone: (201) 797-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02829900 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477151041
LBN Legal business name Moheisen, Islam
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Oct 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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