MILL ROAD DENTAL CENTER PC


Address: 5 Mill Road, Irvington, NJ 07111
Phone: 9733727049

MILL ROAD DENTAL CENTER PC (NPI# 1184789125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184789125
Entity Type Organization
Organization Name MILL ROAD DENTAL CENTER PC
Practice Address 5 Mill Road
Irvington
NJ 07111
Practice Telephone 9733727049
Practice Fax Number 9733727961
Mailing Telephone 9733727049
Mailing Fax Number 9733727961
Enumeration Date 2006-12-27
Last Update Date 2013-05-07
Authorized Official Name YEUGENY AUDEYCHIK (DENTIST)
Authorized Official Telephone 9733727049
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 19119 NJ Dental Providers
Y 122300000X Dentist 19161 NJ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 636150101 05

Office Location

Street Address 5 MILL ROAD
City IRVINGTON
State NJ
Zip Code 07111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548871163 Le Choix Home Care LLC Home Health 1395-1399 Clinton Ave, Irvington, NJ 07111 2020-08-17
1528532447 All America Medical Day Care Custodial Care Facility 141 Coit St, Irvington, NJ 07111 2019-01-14
1548737240 Irvington Adult Day Care Center Clinic/Center 62-70 Howard Street, Irvington, NJ 07111 2018-10-31
1245754084 Soul House Cruber Wellness Center Counselor 1144 Clinton Avenue, Irvington, NJ 07111 2017-08-02
1689194094 Anthony Ijehsedeh Nurse Practitioner 12 Krotik Place, Irvington, NJ 07111 2017-06-27
1467993246 Sia Kendema Respite Care 102 Paine Avenue, Irvington, NJ 07111 2017-03-14
1316482078 Walgreen Co Pharmacy 810 Springfield Ave, Irvington, NJ 07111 2017-01-04
1679023915 Lyons Pharmacy Pharmacy 471 Lyons Ave #79, Irvington, NJ 07111 2016-10-11
1952759276 Sabreehouse Community/Behavioral Health 74 Welland Avenue, Irvington, NJ 07111 2016-05-26
1447624184 Marius Nzo Yonkeu Pharmacist 19 Bruen Ave Apt C1, Irvington, NJ 07111 2015-11-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063816098 Bhramara Priya Yerramsetti Dentist 1152 Clinton Ave, Irvington, NJ 07111-2045 2014-10-20
1790933679 Jacqueline Elizabeth Gaymes Dentist 1375 Clinton Ave, Irvington, NJ 07111-1442 2008-09-03
1629196498 Sivi Eroll Jones Dentist 1375 Clinton Avenue, First Floor, Irvington, NJ 07111 2007-03-27
1891822482 Usha Polavarapu Dentist 1152 Clinton Avenue, Irvington, NJ 07111 2007-02-28
1124163043 Stanley Jean Romain Dentist 1316 Springfield Ave, #13, Irvington, NJ 07111 2007-02-20
1114994225 Morris Silver Dentist 860 Grove St, Irvington, NJ 07111-3601 2006-03-07
1972584704 Gerhard Malcharek Dentist 301 East Huron Street, Irvington, IL 62348-0436 2005-11-09
1245865518 Irvington Family Dentistry, Pa Dentist 855 Springfield Ave, Irvington, NJ 07111-5533 2020-03-07
1831644681 Abhishek Sharma Dentist 1152 Clinton Ave, Irvington, NJ 07111-2045 2016-08-22
1134590417 Sukhmani Grewal Dentist 1152 Clinton Ave, Irvington, NJ 07111-2045 2015-10-13
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Competitor

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City IRVINGTON
Zip Code 07111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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