Township Of West Orange Dental Clinic

LBN: Township Of West Orange Dental Clinic
Township Of West Orange Dental Clinic is an health care organization with primary practice located at 66 Main St , West Orange NJ 07052-5404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Township Of West Orange Dental Clinic can be contacted via phone (973) 325-4135, or through Fonzino, Joseph A. via phone (973) 325-4124.

Contact Information

Primary practice address
66 Main St West Orange NJ 07052-5404
Phone: (973) 325-4135
Fax: (973) 325-4005
Website:
Map and Directions
Authorized official contact:
Name: Fonzino, Joseph A.
Phone: (973) 325-4124

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1013130574
LBN Legal business name Township Of West Orange Dental Clinic
DBA Doing business as
Authorized official Fonzino, Joseph A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
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 1013130574 NPPES
New Jersey MEDICAID 0021008

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