Organization

Ivy Hill Dental Center

Dentist in Newark, NJ(View on Map)

Legal Business Name

Ivy Hill Dental Center

NPI Number

1699275594

NPI Type

Organization

Enumeration Date

02/16/2018

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

22DI02036903

Contact
Information

Purpose

Mailing
Location

Address

679 IRVINGTON AVE
679 IRVINGTON AVE

City

Newark
Newark

State

NJ
NJ

Postal Code

07106-3306
07106-3306

Country

US
US

Telephone Number

(973) 374-5200
(973) 374-5200

Authorized Official

Name

Dr. Tonya Cook

Title or Position

PRESIDENT

Telephone Number

(973) 374-5200

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

Data last updated by provider on 02/16/2018

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