Organization Active NPI

Dentiq of Englewood Cliffs

  • Dental Clinic/Center
  • Englewood Cliffs, NJ
National Provider Identifier
1114852779
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTIQ OF ENGLEWOOD CLIFFS
Practice address
110 Charlotte PL
Englewood Cliffs, NJ 07632-2613
Phone
(201) 431-9753
NPI assigned
Jun 16, 2026
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Doreen Mario Charly, DMDNPI 1033608807
Title
General Dentist
Phone
(832) 350-2063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

110 Charlotte PL
Englewood Cliffs, NJ 07632-2613

Mailing address

10 Eugene Cir
Lincoln Park, NJ 07035-1502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1114852779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EUGENE CIR",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHARLOTTE PL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322613",
            "telephone_number": "201-431-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIQ OF ENGLEWOOD CLIFFS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CHARLY",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "832-350-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.