Ace Dental Wny, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACE DENTAL WNY, PC

Doing business as

Ace Dental & Implant Group of West New York

Practice address

6700 Bergenline Ave
West New York, NJ 07093

Phone

(201) 509-1032

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Jung Jae Park, DDS

Title

Owner/Doctor

Phone

(201) 509-1032

Specialties & licenses 1

Addresses

Other names 1

• Ace Dental & Implant Group of West New York Doing business as

Locations

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1467181511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIN ST 229 P.O. BOX 1118",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-509-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL WNY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNG JAE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "201-509-1032",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Dental & Implant Group of West New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in West New York, NJ
• Providers in West New York, 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 Jun 6, 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.