Englewood Dental Arts LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENGLEWOOD DENTAL ARTS LLC

Practice address

106 Grand Ave Ste 390
Englewood, NJ 07631-3570

Phone

(201) 816-8696

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Khaled Eldin, DDSNPI 1720143415

Title

Associate

Phone

(201) 736-6656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Khaled Eldin, DDS

  • Dentist
  • Old Bridge, NJ
  • NPI 1720143415
  Authorized official Same address or phone
• Gustavo A Garces, D.M.D

  • General Practice Dentistry
  • Englewood, NJ
  • NPI 1215933445
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1437774023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ROUTE 9 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-679-6666",
            "fax_number": "732-679-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE STE 390",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313570",
            "telephone_number": "201-816-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "201-736-6656",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Englewood Cardiology Consultants
• Englewood Center for Learning and Development, Inc.
• Englewood Chiropractic & Wellness Center, LLC
• Englewood Chiropractic Center
• Englewood City Public Schools
• Englewood Dental, PA
• Englewood Dental, PA
• Englewood Dentist LLC
• Englewood Dermatology Center
• Englewood Dermatology Center (Lenis Gonzalez, M.D.)

• Dental Clinic/Center in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.