Anaheata Esmailzada, D.D.S
Individual provider Active NPI General Practice Dentistry · Lodi, NJ
NPI 1154590552 · NPPES record last updated Feb 29, 2008
Key facts
- NPI
- 1154590552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22085 (NJ)
- Practice address
- 1 S Main St Ste 6
Lodi, NJ 07644-2235 - Phone
- (973) 365-8009
- Fax
- (973) 777-0038
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 22085 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22085 | NJ | Yes |
Addresses
Primary practice location
1 S Main St Ste 6
Lodi, NJ 07644-2235
Mailing address
1 S Main St Ste 6
Lodi, NJ 07644-2235
Phone (973) 365-8009
Other providers in Lodi, NJ
- Kamal Kumar Dutta
- Eddie G Ocampo
- Mina A Elfar
- Epiphany Venture Partners
- Edward Michael Epstein
- Katherine Espino
- Essex RX Care Inc
- Felician Impact
- Scott G. Ferrara
- Fksquare LLC
All providers in Lodi, 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 Feb 29, 2008. 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.