Active NPI
Prestige Dental PC
- Dentist
- Clifton, NJ
National Provider Identifier
1629108782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- PRESTIGE DENTAL PC
- Practice address
- 1030 Clifton Ave
Prestige Dental
Clifton, NJ 07013 - Phone
- (973) 778-0013
- Fax
- (973) 778-0924
- NPI assigned
- Mar 7, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward L Doktorman, DDS
- Title
- Business Owner Dentist
- Phone
- (973) 778-0013
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
1030 Clifton Ave
Prestige Dental
Clifton, NJ 07013
Mailing address
1030 Clifton Ave
Prestige Dental
Clifton, NJ 07013
Phone (973) 778-0013
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Clifton, NJ
- NPI 1346365715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629108782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 CLIFTON AVE",
"address_2": "PRESTIGE DENTAL",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07013",
"telephone_number": "973-778-0013",
"fax_number": "973-778-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 CLIFTON AVE",
"address_2": "PRESTIGE DENTAL",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07013",
"telephone_number": "973-778-0013",
"fax_number": "973-778-0924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOKTORMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS OWNER DENTIST",
"authorized_official_telephone_number": "973-778-0013",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
- Premier Rehab Plus LLC
- Premier Spine & Pain Management PC
- Premier Surgery and Anesthesia LLC
- Premier Surgery Center of Clifton LLC
- David Mitchell Press, DMD
- Prestige Health Center P.C.
- Jenna K. Presto
- Prevention Clinics LLC
- Primary Care Partners, LLC (Nermi Onat, MD-Primary Care Partners Affiliate)
- Prime Care Medical Services Inc
Sources for this page
- 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.