The Smile Spa Of North Jersey,Llc

LBN: The Smile Spa Of North Jersey,Llc
The Smile Spa Of North Jersey,Llc is an health care organization with primary practice located at 251 Godwin Ave , Midland Park NJ 07432-1882. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. The Smile Spa Of North Jersey,Llc can be contacted via phone (201) 445-2797, or through Rosenblatt, Debra via phone (201) 445-2797.

Contact Information

Primary practice address
251 Godwin Ave Midland Park NJ 07432-1882
Fax: (201) 445-8340
Website:
Authorized official contact:
Name: Rosenblatt, Debra Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14180 New Jersey
Dental Providers / Periodontics 1223P0300X 2920508 New Jersey

Profile Details

NPI number 1710151089
LBN Legal business name The Smile Spa Of North Jersey,Llc
DBA Doing business as
Authorized official Rosenblatt, Debra Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated May 10th, 2010 - about 14 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 1710151089 NPPES
New Jersey MEDICAID 1301802

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