IRONBOUND DENTAL SPECIALISTS (NPI# 1740554534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740554534 |
| Entity Type | Organization |
| Organization Name | IRONBOUND DENTAL SPECIALISTS |
| Practice Address |
290 Ferry St Newark NJ 07105-3475 |
| Practice Telephone | 9738175511 |
| Practice Fax Number | 9734651955 |
| Mailing Telephone | 9738175511 |
| Mailing Fax Number | 9734651955 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Authorized Official Name | CARMEN QUISPE (OFFICE MANAGER) |
| Authorized Official Telephone | 9738175511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
290 FERRY ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942547518 | Chiropractic Lane and Rehab, LLC | Chiropractor | 290 Ferry St, Suite A1, Newark, NJ 07105-3475 | 2013-01-15 |
| 1508007493 | Gerald Jacob Lane | Chiropractor | 290 Ferry St, A1, Newark, NJ 07105-3475 | 2009-03-23 |
| 1972725166 | Olga Mishilevski | Dentist | 290 Ferry St, Suite B2, Newark, NJ 07105-3475 | 2007-05-03 |
| 1952522039 | Gentle Dental Nj LLC | Dentist | 290 Ferry St, Suite B 2, Newark, NJ 07105-3475 | 2007-05-02 |
| 1871715722 | Eugene Bernstein | Dentist | 290 Ferry St, Suite B 2, Newark, NJ 07105-3475 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1235395971 | Dara Siegel | Dentist | 110 Bergen St Ste 883a, Newark, NJ 07103 | 2008-08-01 |
| 1245303387 | Omega Endodontics, LLC | Dentist | 31 Omega Dr, Suite J-31, Newark, DE 19713-2058 | 2006-11-16 |
| 1003425562 | A&c Dental Concepts LLC | Dentist | 233 Lafayette St, Newark, NJ 07105-1813 | 2020-07-29 |
| 1306479902 | Childsmiles PC Holdings Nj Pa | Dentist | 45 Bleeker St, Newark, NJ 07102-1913 | 2020-02-21 |
| 1275054066 | Sara E Soumeeh | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2017-06-30 |
| 1013468040 | Infinite Endodontics 2 | Dentist | 66 Somme St, Newark, NJ 07105-3612 | 2016-10-14 |
| 1073061297 | Marianella Natera-fernandez | Dentist | 110 Bergen St, D883, Newark, NJ 07103-2495 | 2016-09-16 |
| 1144612250 | Carla Yvonne Falcon | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2015-02-26 |
| 1750794996 | Samin F Nawaz | Dentist | 110 Bergen St, Room C-790, Newark, NJ 07103-2495 | 2014-06-05 |
| Find all providers in NEWARK | ||||
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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.