Willowbrook Mall Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18863 Issued in NJ

Legal business name

WILLOWBROOK MALL DENTAL PC

Practice address

1445 Willowbrook Mall
Wayne, NJ 07470-6905

Phone

(973) 812-4426

Fax

(973) 812-4405

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Babak Haghighi, DDS

Title

Owner

Phone

(973) 812-4426

Specialties & licenses 1

Addresses

Tax ID family

Willowbrook Mall Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Willowbrook Mall Dental, PA

  • General Practice Dentistry
  • Wayne, NJ
  • NPI 1174685713
  NPD tax ID

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700876430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706905",
            "telephone_number": "973-812-4426",
            "fax_number": "973-812-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706905",
            "telephone_number": "973-812-4426",
            "fax_number": "973-812-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK MALL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGHIGHI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-812-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Paterson University of New Jersey (Wpunj)
• Alyson B Williams, HAD
• Elizabeth Casey Williams, MS OTR/L
• Max Louis Willinger
• Willow & Vision LLC
• Willowbrook Mall Dental, PA
• Willowbrook Obstetrics and Gynecology LLC
• Willowbrook Pediatrics
• Mini Willphine, MSN,APN,AGACNP-BC,CC
• Courtney Wilson

• General Practice Dentistry in Wayne, NJ
• Providers in Wayne, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.

Verify at the official NPI Registry.