Mill Road Dental Center Pc

LBN: Mill Road Dental Center Pc
Mill Road Dental Center Pc is an health care organization with primary practice located at 5 Mill Road , Irvington NJ 07111. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mill Road Dental Center Pc can be contacted via phone (973) 372-7049, or through Audeychik, Yeugeny via phone (973) 372-7049.

Contact Information

Primary practice address
5 Mill Road Irvington NJ 07111
Phone: (973) 372-7049
Fax: (973) 372-7961
Website:
Map and Directions
Authorized official contact:
Name: Audeychik, Yeugeny Doctor of Dental Surgery (DDS)
Phone: (973) 372-7049

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19161 New Jersey
Dental Providers / Dentist 122300000X 19119 New Jersey

Profile Details

NPI number 1184789125
LBN Legal business name Mill Road Dental Center Pc
DBA Doing business as
Authorized official Audeychik, Yeugeny Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated May 7th, 2013 - about 12 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 1184789125 NPPES
New Jersey MEDICAID 636150101

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