Avianto, Nicholas Anthony

Avianto, Nicholas Anthony is an individual health care provider with primary practice located at 301 Belleville Ave , Bloomfield NJ 07003-3647. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Avianto, Nicholas Anthony can be contacted via phone (551) 227-2551.

Contact Information

Primary practice address
301 Belleville Ave Bloomfield NJ 07003-3647
Phone: (551) 227-2551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02859400 New Jersey

Profile Details

NPI number 1831758663
LBN Legal business name Avianto, Nicholas Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jan 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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