Noana Issar-Grill, DDS
Individual provider Active NPI General Practice Dentistry · JB MDL, NJ
NPI 1023078458 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1023078458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN15832 (FL)
- Practice address
- 3458 Neely Rd
JB MDL, NJ 08641-5312 - Phone
- (609) 754-3786
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15832 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN15832 | FL | Yes |
Addresses
Primary practice location
3458 Neely Rd
JB MDL, NJ 08641-5312
Mailing address
3458 Neely Rd
JB MDL, NJ 08641-5312
Phone (609) 754-3786
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076123100 | Medicaid | FL |
Other providers in JB MDL, NJ
- Rachel F Ennis
- Michael Jerome Feeney
- Peter Fiasca
- Nicole Lynn Hawley
- Susan Jill Hicks
- Crystal Kellert
- Marcelle Yvonne Kendrick
- Robert Marcus Kerchofer
- Erin Knouse
- Kristina Eileen Krasznai
All providers in JB MDL, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.