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Contact Information

ADVANCED ENDODONTICS ALLIANCE
170 PROSPECT AVE STE 7
HACKENSACK, NJ07601-1834
 Phone: 201-343-8600
 Fax: 201-343-8650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS ALLIANCE

NPI # 1710276365
LBN Legal business name ADVANCED ENDODONTICS ALLIANCE
Authorized official MARYIA ROZENBLUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2011
Last updated 04/05/2011 - About 15 years ago
Identifiers
NJ License # 22DI02237100
NJ Medicaid 0173151
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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