Dr Dental of Clifton PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02484000 Issued in NJ

Legal business name

DR DENTAL OF CLIFTON PC

Practice address

83 Ackerman Ave
Clifton, NJ 07011-1501

Phone

(203) 415-7460

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Julia Faigel, DDM

Title

Owner

Phone

(203) 415-7460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1679904593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ACKERMAN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ACKERMAN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111501",
            "telephone_number": "203-415-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENTAL OF CLIFTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-415-7460",
        "authorized_official_credential": "DDM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02484000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.