ST MICHAEL DENTAL CLINIC CORPORATION


Address: 664 Broadway, Bayonne, NJ 07002-4726
Phone: 2018232062

ST MICHAEL DENTAL CLINIC CORPORATION (NPI# 1487996997) 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) 1487996997
Entity Type Organization
Organization Name ST MICHAEL DENTAL CLINIC CORPORATION
Practice Address 664 Broadway
Bayonne
NJ 07002-4726
Practice Telephone 2018232062
Practice Fax Number 2018588696
Mailing Telephone 2018232062
Mailing Fax Number 2018588696
Enumeration Date 2013-03-22
Last Update Date 2013-03-22
Authorized Official Name OLIVIA YANNI (PRESIDENT)
Authorized Official Telephone 2019939181
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
22DI02492200 NJ Dental Providers

Office Location

Street Address 664 BROADWAY
City BAYONNE
State NJ
Zip Code 07002-4726

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487792503 Muhammad S Hanif Internal Medicine 664 Broadway, Bayonne, NJ 07002-4726 2007-02-01
1073888715 Olivia Yanni Dentist 664 Broadway, Bayonne, NJ 07002-4726 2012-03-14
1578848974 Hudson County Internal Medicine, PC Internal Medicine 664 Broadway, Bayonne, NJ 07002-4726 2011-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205436029 Nimitha Kumar Dentist 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 2020-10-30
1972114437 New Jersery Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 18-40 Goldsborough Drive, Bayonne, NJ 07002 2020-08-10
1134740707 Paulanto Dental Clinic Corp Clinic/Center 189-195 Ave E, Bayonne, NJ 07002 2020-05-05
1093377152 Moneeb Arshad Chohan General Practice 9 E 29th St, Bayonne, Bayonne, NJ 07002 2019-06-28
1477113835 Jay Hwang Dentist 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 2019-06-18
1740845932 Sara Shi Student in an Organized Health Care Education/Training Program Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 2019-05-03
1376003855 S.akhtar.md.llc Internal Medicine 16 East 29th St, Bayonne, NJ 07002 2019-03-21
1144799701 Perfect Home Care Home Health 473 Broadway Suite 402, Bayonne, NJ 07002 2018-11-13
1881174688 Windmill Alliance Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 2018-08-21
1437642774 Agape Chen Student in an Organized Health Care Education/Training Program 29th Street & Avenue E, Bayonne, NJ 07002 2018-06-12
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972647337 Joseph M Dalbon Dentist 1019 Bloomfield Ave, West Caldwell, NJ 07006-7140 2007-02-19
1982659975 Ismari E Labrada Dentist 2200 New York Ave, Union City, NJ 07087-4502 2006-05-24
1043299530 Robin Scheper Dentist 212 Old Mill Dr, N Cape May, NJ 08204-3426 2006-01-12
1043295462 Carolyn Ann Contee-lassiter Dentist Stuyvesant Avenue, Ann Klein Forensic Center, West Trenton, NJ 08628-7717 2005-12-08
1063417244 Donald Scott Navarro Dentist 74 Wedgewood Dr, Montville, NJ 07045-9044 2005-06-15
1114544483 Nk Thind Dds East Orange Pa Dentist 134 Evergreen Place, Suite 101, East Orange, NJ 07018 2020-07-02
1326699851 Ami Shah Dentist 650 Easton Ave, Somerset, NJ 08873-1818 2019-09-25
1477021202 Joseph D. Miranda Dentist 279 Whippany Rd, Whippany, NJ 07981-1941 2018-11-09
1447702881 Manville Family Dental PC Dentist 35 S Main St, Manville, NJ 08835-1801 2016-11-02
1578920260 Edward A Tanski Jr. Dentist 162 Haddon Ave, West Berlin, NJ 08091 2016-01-26
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Competitor

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City BAYONNE
Zip Code 07002

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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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