Precident Of New Jersey, Llc
LBN: Precident Of New Jersey, Llc
Precident Of New Jersey, Llc is an health care organization with primary practice located at 1135 Broad St Ste 100 , Clifton NJ 07013-3346. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Precident Of New Jersey, Llc can be contacted via phone (973) 256-0103, or through Bolding, Scotty L via phone (479) 957-4611.
Contact Information
Primary practice address
1135 Broad St Ste 100
Clifton NJ 07013-3346
Phone: (973) 256-0103
Fax: (973) 256-8066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1699346437 |
|---|---|
| LBN Legal business name | Precident Of New Jersey, Llc |
| DBA Doing business as | |
| Authorized official | Bolding, Scotty L DDS, MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2021 |
| Last updated | May 12th, 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 | 1699346437 | NPPES |
| New Jersey | Other | 22DI02335600 | NJ STATE LICENSE |
| New Jersey | Other | 22DI02335601 | NJ STATE LICENSE |
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