Excel Dentistry, P.C.

LBN: Excel Dentistry, P.C.
Excel Dentistry, P.C. is an health care organization with primary practice located at 266 Harristown Rd Suite 102, Glen Rock NJ 07452-3302. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Excel Dentistry, P.C. can be contacted via phone (201) 652-0400, or through Modesto-Garrido, Mayra via phone (201) 652-0400.

Contact Information

Primary practice address
266 Harristown Rd Suite 102 Glen Rock NJ 07452-3302
Phone: (201) 652-0400
Fax: (201) 447-5762
Website:
Map and Directions
Authorized official contact:
Name: Modesto-Garrido, Mayra Doctor of Dental Surgery (DDS)
Phone: (201) 652-0400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01825501 New Jersey

Profile Details

NPI number 1982766853
LBN Legal business name Excel Dentistry, P.C.
DBA Doing business as
Authorized official Modesto-Garrido, Mayra Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Feb 12th, 2015 - about 9 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 1982766853 NPPES
New Jersey MEDICAID 6037704
New Jersey Other 898217
New Jersey MEDICAID 0066028

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