Grove Street Dental Pc

LBN: Grove Street Dental Pc
Grove Street Dental Pc is an health care organization with primary practice located at 175 Newark Ave , Jersey City NJ 07302. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grove Street Dental Pc can be contacted via phone (201) 200-0222, or through Dranovsky, Vladimir via phone (201) 200-0222.

Contact Information

Primary practice address
175 Newark Ave Jersey City NJ 07302
Phone: (201) 200-0222
Fax: (201) 435-7678
Website:
Map and Directions
Authorized official contact:
Name: Dranovsky, Vladimir
Phone: (201) 200-0222

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI20129 New Jersey

Profile Details

NPI number 1184737496
LBN Legal business name Grove Street Dental Pc
DBA Doing business as
Authorized official Dranovsky, Vladimir
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1184737496 NPPES
New Jersey MEDICAID 5170907

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