Branford Dental Center

LBN: Advanced Oral Rehabilitaion
Branford Dental Center is an health care organization with primary practice located at 23 Branford Place , Newark Nj NJ 07105. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advanced Oral Rehabilitaion can be contacted via phone (973) 424-0040, or through Park, Woo Il Steven via phone (973) 424-0040.

Contact Information

Primary practice address
23 Branford Place Newark Nj NJ 07105
Phone: (973) 424-0040
Fax: (973) 424-0089
Website:
Map and Directions
Authorized official contact:
Name: Park, Woo Il Steven Doctor of Dental Surgery (DDS)
Phone: (973) 424-0040

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI02324700 New Jersey

Profile Details

NPI number 1164781746
LBN Legal business name Advanced Oral Rehabilitaion
DBA Doing business as Branford Dental Center
Authorized official Park, Woo Il Steven Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2012
Last updated May 16th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164781746 NPPES
New Jersey MEDICAID 0252727

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