Advanced Dental Group, Inc.
Organization Active NPI General Practice Dentistry · Edison, NJ
NPI 1821145202 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1821145202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI02245600 (NJ)
- Legal business name
- ADVANCED DENTAL GROUP, INC.
- Practice address
- 629 Amboy Ave Ste 3
Edison, NJ 08837-3579 - Phone
- (732) 661-0011
- Fax
- (732) 661-1335
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Nima M Patel, DMD
- Title
- President
- Phone
- (732) 661-0011
Practitioners 1
-
Nima Patel, DMD
National Provider Directory
Locations
629 Amboy Ave
Ste 3
Edison, NJ 08837
Phone (732) 661-0011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 22DI02245600 | NJ | Yes |
Addresses
Primary practice location
629 Amboy Ave Ste 3
Edison, NJ 08837-3579
Mailing address
629 Amboy Ave Ste 3
Edison, NJ 08837-3579
Phone (732) 661-0011
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All providers in Edison, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.