Premier Family Dental Pc

LBN: Premier Family Dental Pc
Premier Family Dental Pc is an health care organization with primary practice located at 520 Clifton Ave Ste 4 4, Clifton NJ 07011-3247. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty. Premier Family Dental Pc can be contacted via phone (973) 772-4222, or through Rathod, Gira via phone (973) 772-4222.

Contact Information

Primary practice address
520 Clifton Ave Ste 4 4 Clifton NJ 07011-3247
Phone: (973) 772-4222
Fax: (973) 772-7652
Website:
Map and Directions
Authorized official contact:
Name: Rathod, Gira
Phone: (973) 772-4222

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DI0227391 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DI2443200 New Jersey

Profile Details

NPI number 1962847020
LBN Legal business name Premier Family Dental Pc
DBA Doing business as
Authorized official Rathod, Gira
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2013
Last updated May 2nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962847020 NPPES
New Jersey MEDICAID 0227391
New Jersey MEDICAID 0255891

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