Mariana A Blagoev, DDS

Individual provider Active NPI General Practice Dentistry · Parlin, NJ

NPI 1043345333 · NPPES record last updated Mar 12, 2026

Key facts

NPI
1043345333
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DI20126 (NJ)
Practice address
1145 Bordertown Ave
Parlin, NJ 08859
Phone
(732) 721-3512
Fax
(732) 721-0414
NPI assigned
Feb 23, 2007
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

LicenseStateTypeSpecialty
DI20126NJMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI20126 NJ Yes

Addresses

Primary practice location

1145 Bordertown Ave
Parlin, NJ 08859

Mailing address

1145 Bordertown Ave
Parlin, NJ 08859

Other providers in Parlin, NJ

All providers in Parlin, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.