Tenafly Dental Spa PC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02013400 Issued in NJ

Legal business name

TENAFLY DENTAL SPA PC

Practice address

2 Dean Dr
3Rd Floor
Tenafly, NJ 07670-2765

Phone

(201) 668-0662

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Julia Igdalev, DDS

Title

Owner

Phone

(201) 668-0662

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1700335239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NEVADA ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525622",
            "telephone_number": "201-668-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "address_2": "3RD FLOOR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-668-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENAFLY DENTAL SPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "IGDALEV",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-668-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02013400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Mardam Bey MD LLC
• Tenafly Art of Fitness
• Tenafly Board of Education
• Tenafly Chiropractic Center
• Tenafly Dental Associates, PC
• Tenafly Dentistry LLC
• Tenafly Eye
• Tenafly Eye Associates PA
• Tenafly Orthodontic Associates LLC
• Tenafly Pediatrics

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.