PROSPECT DENTAL CARE (NPI# 1750945473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750945473 |
Entity Type | Organization |
Organization Name | PROSPECT DENTAL CARE |
Practice Address |
145 Prospect St Ste 202 Ridgewood NJ 07450-4493 |
Practice Telephone | 2014449011 |
Practice Fax Number | 2018574676 |
Mailing Telephone | 2014449011 |
Mailing Fax Number | 2018574676 |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |
Authorized Official Name | DR. JOHN MAKHOUL (OWNER) |
Authorized Official Telephone | 2014449011 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
145 PROSPECT ST STE 202 |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450-4493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
Find all providers in zip 07450 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831325430 | Lauren Kurpis Welch | Dentist | 545 Route 17, Ridgewood, NJ 07450-2097 | 2009-06-09 |
1134372196 | Dr. Fernandez Dental Office | Dentist | 1640 Madison St Apt 1, Ridgewood, NY 11385-3450 | 2008-11-03 |
1962661421 | Laureen Anne Zubiaurre | Dentist | 360 W Ridgewood Ave, Ridgewood, NJ 07450-3627 | 2008-06-09 |
1346426897 | Dorota Gasior | Dentist | 1917 Woodbine St, Ridgewood, NY 11385-3801 | 2008-01-15 |
1538356662 | Min-hee A Cho | Dentist | 166 Franklin Ave, Ridgewood, NJ 07450-3206 | 2007-10-02 |
1790975399 | Peter Chin | Dentist | 6503 Fresh Pond Rd, Ridgewood, NY 11385-3332 | 2007-07-30 |
1467651513 | John George Stanescu | Dentist | 5915 Palmetto St, Ridgewood, NY 11385-3233 | 2007-07-17 |
1548473531 | Michel Mouravieff | Dentist | 525 N Maple Ave, Ridgewood, NJ 07450-1612 | 2007-05-07 |
1205052495 | Leo Tsing Shen | Dentist | 683 E Ridgewood Ave, Ridgewood, NJ 07450-3310 | 2007-04-17 |
1780809392 | Chin-chee Hu | Dentist | 354 Saint Nicholas Avenue, Suite 354, Ridgewood, NY 11385-2745 | 2007-04-17 |
Find all providers in RIDGEWOOD |
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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.