Elizabeth Avenue Dental Ctr

Primary specialty

DentistTaxonomy code 122300000X

License

DI15381 Issued in NJ

Legal business name

ELIZABETH AVENUE DENTAL CTR

Practice address

627 Elizabeth Avenue
Elizabeth, NJ 07206

Phone

(908) 354-0030

Fax

(908) 354-4029

NPI assigned

Sep 11, 2006

Last updated

Aug 22, 2020By 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. Mehmet S Dickengil, DDS

Title

President of Corporation

Phone

(908) 354-0030

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538263603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 ELIZABETH AVENUE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07206",
            "telephone_number": "908-354-0030",
            "fax_number": "908-354-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 ELIZABETH AVENUE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07206",
            "telephone_number": "908-354-0030",
            "fax_number": "908-354-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH AVENUE DENTAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKENGIL",
        "authorized_official_first_name": "MEHMET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "908-354-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI15381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1436805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Eitel, CNM
• Aviva Eizik, LCSW
• Elina Eksarko-Bilbili, FNP
• Eldercare of Elizabeth (Home Sweet Home Adc)
• Eli Finkelstein MD Associates P.C.
• Elizabeth Avenue Dentistry, PC
• Elizabeth Bayway Medical Center, LLC
• Elizabeth Center for Family Medicine PC
• Elizabeth Center for Sleep and TMJ Wellness
• Elizabeth Chemists Inc (Colton's Pharmacy)

• Dentist in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.