PARK DENTAL ARTS, LLC


Address: 560 Bergen Blvd, Ridgefield, NJ 07657
Phone: 2019454477

PARK DENTAL ARTS, LLC (NPI# 1578000196) 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) 1578000196
Entity Type Organization
Organization Name PARK DENTAL ARTS, LLC
Practice Address 560 Bergen Blvd
Ridgefield
NJ 07657
Mailing Address 560 Bergen Blvd
Ridgefield
NJ 07657-2024
Practice Telephone 2019454477
Practice Fax Number 2019455233
Mailing Telephone 2019454477
Mailing Fax Number 2019455233
Enumeration Date 2017-01-20
Last Update Date 2017-01-20
Authorized Official Name DR. JENI GLAVICIC (CO-OWNER)
Authorized Official Telephone 2019454477
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist DI17286 NJ Dental Providers
Y 122300000X Dentist DI16680 NJ Dental Providers

Office Location

Street Address 560 BERGEN BLVD
City RIDGEFIELD
State NJ
Zip Code 07657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316130388 Jeni Glavicic Dentist 560 Bergen Blvd, Ridgefield, NJ 07657-2024 2007-08-23
1407391097 Park Dental Associates, Inc Dentist 560 Bergen Blvd, Ridgefield, NJ 07657-2024 2017-01-05
1295997161 Caroline Kim Ahn Dentist 560 Bergen Blvd, Ridgefield, NJ 07657-2024 2008-07-01
1922296300 Alice Saraydarian Dentist 560 Bergen Blvd, Ridgefield, NJ 07657-2024 2007-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508383308 Ridgefield Board of Education Respite Care 555 Chestnut Street, Ridgefield, NJ 07657 2017-08-23
1871035154 Nj Happy Care, Inc. Durable Medical Equipment & Medical Supplies 321 Broad Ave Suite 106, Ridgefield, NJ 07657 2016-11-17
1215203724 Chan-kyu Kim Dentist 709 Bergen Blvd., Ridgefield, NJ 07657 2012-03-29
1871775940 Borough of Ridgefield Public Health or Welfare Slocum Avenue, Ridgefield, NJ 07657 2007-11-30
1932321759 Dongkyun Daniel Kim Dentist 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 2007-05-02
1992880413 Walter E Haemmerle Dentist 845 Broad Ave, Ridgefield, NJ 07657 2006-10-25
1548279482 Dennis Barbieri Dentist 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 2006-08-07
1861406746 Agop Artinian Internal Medicine 477 Bergen Blvd, Ridgefield, NJ 07657 2006-07-28
1366969701 Steven Jin Acupuncturist 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 2017-08-26
1518366426 Cliffside Labs L.L.C. Clinical Medical Laboratory 579 Bergen Blvd, Ridgefield, NJ 07657 2014-08-15
Find all providers in zip 07657

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
1174020630 Home Town Dental Inc Dentist 31 Bailey Ave Ste C, Ridgefield, CT 06877-4533 2018-04-11
1962902221 Kelsey Lauren Jones Dentist 65 Danbury Rd, Ridgefield, CT 06877-4003 2018-02-13
1679022503 Shabab Naqvi Dentist 480 Linden Ct, Ridgefield, NJ 07657-2428 2016-10-04
1013344498 Jordan Anderson Dentist 5807 Nw 166th St, Ridgefield, WA 98642-8553 2013-10-01
1710325675 Dennis Herbert Gillespie Dentist 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 2013-06-12
1215203724 Chan-kyu Kim Dentist 709 Bergen Blvd., Ridgefield, NJ 07657 2012-03-29
1598057804 Kenneth Harrison Schrecengost Dentist 2217 Ne 179th St, #42, Ridgefield, WA 98642-8614 2011-05-04
1164734372 Ashfaq Ahmad Dentist 890 Ethan Allen Hwy, Ridgefield, CT 06877-2843 2010-07-06
1184876815 Raffi Kaprielian Dentist 432 Bergen Blvd, Suite C, Ridgefield, NJ 07657-2895 2008-10-13
1306001656 Jungmin Esther Han Dentist 605 Broad Ave Ste 203, Ridgefield, NJ 07657-1604 2008-07-25
Find all providers in RIDGEFIELD

Competitor

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City RIDGEFIELD
Zip Code 07657

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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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