DR. IGOR IGDALEV


Address: 1625 Anderson Ave Ste 202, Fort Lee, NJ 07024-2748
Phone: 2012249444

DR. IGOR IGDALEV (NPI# 1821471897) 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) 1821471897
Entity Type Individual
Full Name DR. IGOR IGDALEV
Credential D.M.D
Practice Address 1625 Anderson Ave Ste 202
Fort Lee
NJ 07024-2748
Mailing Address 18 W Bayview Ave
Englewood Cliffs
NJ 07632-1401
Practice Telephone 2012249444
Mailing Telephone 2012189858
Enumeration Date 2015-07-08
Last Update Date 2015-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
22DI02604300 NJ Dental Providers

Office Location

Street Address 1625 ANDERSON AVE STE 202
City FORT LEE
State NJ
Zip Code 07024-2748

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1558812909 Jian Cui Acupuncturist 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 2016-10-20
1013392919 Yulong Yang Internal Medicine 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 2015-07-22
1235561796 Anthony Lucev Student in an Organized Health Care Education/Training Program 233 Harmon Ave, Fort Lee, NJ 07024 2013-08-06
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194214072 Ji Yen Suh Dentist 1600 Parker Ave Apt 16f, Fort Lee, NJ 07024-7006 2018-05-06
1538697081 Christine Chun Dentist 1636 Parker Ave Fl 2, Fort Lee, NJ 07024-6926 2017-05-29
1366890642 Fort Lee Smiles Dentist 1530 Palisade Ave Ste 101, Fort Lee, NJ 07024-5470 2016-05-27
1720440415 Maria Apergis Dentist 1515 Palisade Ave, Fort Lee, NJ 07024-5345 2016-03-22
1316351364 Ana Kim Dentist 2077 Center Ave Apt 9f, Fort Lee, NJ 07024-4903 2014-06-18
1942579768 Francis Sangik Han Dentist 158 English St Unit A, Fort Lee, NJ 07024-6904 2011-12-22
1538334867 Byongyool Alan Kim Dentist 891 Palisade Ave, Fort Lee, NJ 07024-4122 2008-04-28
1598937609 Sherif S Radwan Dentist 1585 Palisade Ave, Fort Lee, NJ 07024-6931 2008-03-28
1578754008 Mina Kim Dentist 328 Bridge Plz N Apt 1h, Fort Lee, NJ 07024-5013 2007-08-08
1720208192 Elliot H Bass Dentist 1355-15 Street, Fort Lee, NJ 07024 2007-04-26
Find all providers in FORT LEE

Competitor

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City FORT LEE
Zip Code 07024

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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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