Montclair Dental Spa

LBN: Montclair Dental Spa
Montclair Dental Spa is an health care organization with primary practice located at 204 Claremont Ave , Montclair NJ 07042-3409. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / General Practice is the primary health care specialty. Montclair Dental Spa can be contacted via phone (973) 744-1527, or through Moussa, Yousef via phone (973) 744-1527.

Contact Information

Primary practice address
204 Claremont Ave Montclair NJ 07042-3409
Phone: (973) 744-1527
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moussa, Yousef
Phone: (973) 744-1527

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X

Profile Details

NPI number 1366008864
LBN Legal business name Montclair Dental Spa
DBA Doing business as
Authorized official Moussa, Yousef
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2019
Last updated Jun 11th, 2019 - about 5 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 1366008864 NPPES
New Jersey Other 1588703052 NPPES

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