WALDWICK DENTAL CENTER (NPI# 1639387046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639387046 |
| Entity Type | Organization |
| Organization Name | WALDWICK DENTAL CENTER |
| Practice Address |
22 Wyckoff Ave Waldwick NJ 07463-1718 |
| Practice Telephone | 2014473210 |
| Mailing Telephone | 2014473210 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | DR. STEVEN L KIM (OWNER) |
| Authorized Official Telephone | 2014473210 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
19318 | NJ | Ambulatory Health Care Facilities |
| Street Address |
22 WYCKOFF AVE |
| City | WALDWICK |
| State | NJ |
| Zip Code | 07463-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386785988 | David M Jacobs | Chiropractor | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2007-02-08 |
| 1164829859 | Steven Kim | Dentist | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2014-11-25 |
| 1750571634 | Holistic Health Solutions | Chiropractor | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104384460 | Life Opportunities Unlimited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Cleveland Ave, Waldwick, NJ 07463 | 2019-03-06 |
| 1285105403 | Kristen Marie Forman | Social Worker | The Koch Center, P.C., 71 Franklin Tpke, Ste. 8, Waldwick, NJ 07463 | 2018-12-16 |
| 1083123970 | Emily Navarro | Dietitian, Registered | 26 Cleveland Ave, Waldwick, NJ 07463 | 2017-09-24 |
| 1760916340 | Sensory Taekwondo of Waldwick | Behavioral Analyst | 140 Hopper Ave, Waldwick, NJ 07463 | 2017-04-20 |
| 1205291176 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Wyckoff Avenue, Waldwick, NJ 07463 | 2015-12-21 |
| 1225456593 | Mina Hanna | Podiatrist | 171 Franklin Tpke Ste 200, Waldwick, NJ 07463 | 2014-04-02 |
| 1811282569 | Marion Elaine Troise | Massage Therapist | 3-4 Vernon Ct., Waldwick, NJ 07463 | 2011-06-10 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1326223777 | Raymond M Younghans | Physical Therapist | 136 Hopper Avenue, Waldwick, NJ 07463 | 2008-01-04 |
| 1841412228 | Armi Aura D Hernandez | Physical Therapist | 171 North Franklin Tpke., Waldwick, NJ 07463 | 2007-05-03 |
| Find all providers in zip 07463 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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| 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.