Veniamin Kofanov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI03150700 Issued in NJ

Practice address

325 Central Ave
Orange, NJ 07050-2407

Phone

(973) 676-3700

NPI assigned

May 20, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harris Dental LLC

  • General Practice Dentistry
  • Orange, NJ
  • NPI 1629945548
  NPD (past)
• Op Dental Management

  • General Practice Dentistry
  • Orange, NJ
  • NPI 1134286628
  NPD (past)

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1275463531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502407",
            "telephone_number": "973-676-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502407",
            "telephone_number": "973-676-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFANOV",
        "first_name": "VENIAMIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03150700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jr & FDP Enterprises Inc
• Joseph Michael Juliano, D.C.
• Najmusseher Khan, RPH
• Nikkisha Knight
• Karen G Koch-Ramirez, LCSW
• Stellamaria Ngozi Korieocha, OD
• Martine Lamour, LPC
• Las Valdez Home Care
• Las Valdez Home Care
• Frank Daniel Latorraca, DMD

• General Practice Dentistry in Orange, NJ
• Providers in Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.