Denta Glow Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTA GLOW CORP

Practice address

2787 John F Kennedy Blvd # A13
Jersey City, NJ 07306-5531

Phone

(551) 242-4420

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Asmaa Abdeen, DMDNPI 1679216683

Title

Dentist

Phone

(551) 242-4420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asmaa Abdeen, DMD

  • Dentist
  • Jersey City, NJ
  • NPI 1679216683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1679394704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BUTTERNUT ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054851",
            "telephone_number": "551-242-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 JOHN F KENNEDY BLVD # A13",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065531",
            "telephone_number": "551-242-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTA GLOW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "ABDEEN",
        "authorized_official_first_name": "ASMAA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "551-242-4420",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas John Demos, MD
• Zyanaitha Denard
• Leonard Anthony Denbleyker, D.P.M.
• Heather Sandrea Denigris, PA
• Eve Denner-Taylor, MSW
• Dental Associates Family Dentistry PC
• Dental Associates of Jersey City LLC
• Dental Center of Jersey City
• Dental Specialists of Jersey City PC
• Zenaida Deocera, MD

• Dental Clinic/Center in Jersey City, NJ
• Providers in Jersey City, 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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.