Grove Dental Center
LBN: Grove Street Dental Care Pc
Grove Dental Center is an health care organization with primary practice located at 175 Newark Ave Suite 2B, Jersey City NJ 07302-2859. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty.
Grove Street Dental Care Pc can be contacted via phone (201) 200-0222, or through Halthore, Sushma via phone (201) 200-0222.
Contact Information
Primary practice address
175 Newark Ave Suite 2B
Jersey City NJ 07302-2859
Phone: (201) 200-0222
Fax:
Website:
Authorized official contact:
Name: Halthore, Sushma Doctor of Dental Medicine (DMD)
Phone: (201) 200-0222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI02366200 | New Jersey |
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1780990622 |
|---|---|
| LBN Legal business name | Grove Street Dental Care Pc |
| DBA Doing business as | Grove Dental Center |
| Authorized official | Halthore, Sushma Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2010 |
| Last updated | Jun 21st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780990622 | NPPES |
| New Jersey | MEDICAID | 0230260 |
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