Comfort Dental Care, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI017854000 Issued in NJ

Legal business name

COMFORT DENTAL CARE, PA

Practice address

599 Broadway
Unit 1a
Paterson, NJ 07514-1969

Phone

(973) 742-2610

Fax

(973) 742-3553

NPI assigned

Sep 14, 2013

Last updated

Sep 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jorge A Bastidas, DMD

Title

Owner

Phone

(973) 742-2610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1457787087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 BROADWAY",
            "address_2": "UNIT 1A",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141969",
            "telephone_number": "973-742-2610",
            "fax_number": "973-742-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 BROADWAY",
            "address_2": "UNIT 1A",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141969",
            "telephone_number": "973-742-2610",
            "fax_number": "973-742-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "BASTIDAS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-742-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI017854000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Paterson, NJ
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• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.