Organization

Bloomfield Ave Dental Spec, Llc

Dentist in Newark, NJ(View on Map)

Legal Business Name

Bloomfield Ave Dental Spec, Llc

NPI Number

1306567656

NPI Type

Organization

Enumeration Date

09/06/2022

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

223 BLOOMFIELD AVE STE 2
223 BLOOMFIELD AVE STE 2

City

Newark
Newark

State

NJ
NJ

Postal Code

07104-1104
07104-1104

Country

US
US

Telephone Number

(973) 435-8100
(973) 435-8100

Authorized Official

Name

Michael Skolnick

Title or Position

PRESIDENT

Telephone Number

(973) 435-8100

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

https://childsmiles.com/

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

223 Bloomfield Ave Ste 2Newark, NJ071041104US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/30/2023

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