Children'S Dental Specialists

Organization Active NPI Pediatric Dentistry · Warren, NJ

NPI 1679639934 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1679639934
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
CHILDREN'S DENTAL SPECIALISTS
Practice address
55 Mountain Blvd
Suite 207
Warren, NJ 07059-2615
Phone
(908) 791-3333
NPI assigned
Dec 29, 2006
Organization subpart
No

Authorized official

Name
Dr. Christina Mazzone, D.M.D.
Title
Dentist
Phone
(908) 791-3333

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Tax ID family
Children'S Dental Specialists (2 organizations share this tax ID)

Locations

55 Mountain Blvd
Ste 207
Warren, NJ 07059
Phone (908) 791-3333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0221X Yes

Addresses

Primary practice location

55 Mountain Blvd
Suite 207
Warren, NJ 07059-2615

Mailing address

407 Boulder Ridge Dr
Randolph, NJ 07869-1637

Other providers in Warren, NJ

All providers in Warren, NJ · Pediatric Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.