Organization Active NPI

Teaneck Family Dental LLC

  • Dental Clinic/Center
  • Teaneck, NJ
National Provider Identifier
1154043669
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TEANECK FAMILY DENTAL LLC
Practice address
741 Teaneck Rd
Teaneck, NJ 07666-4261
Phone
(609) 547-3232
Fax
(609) 594-1179
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Khaled G Eldin, DDS
Title
DDS/Owner
Phone
(609) 547-3232

Specialties & licenses 1

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

Addresses

Primary practice location

741 Teaneck Rd
Teaneck, NJ 07666-4261

Mailing address

741 Teaneck Rd
Teaneck, NJ 07666-4261
Phone (609) 547-3232

National Provider Directory

National Provider Directory

Locations

741 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2888

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1154043669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664261",
            "telephone_number": "609-547-3232",
            "fax_number": "609-594-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664261",
            "telephone_number": "609-547-3232",
            "fax_number": "609-594-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEANECK FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "609-547-3232",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.