Organization

Childsmiles Group Holdings Llc

Orthodontics and Dentofacial Orthopedic Dentist in Newark, NJ(View on Map)

Legal Business Name

Childsmiles Group Holdings Llc

NPI Number

1023643889

NPI Type

Organization

Enumeration Date

03/11/2020

Specialties

(Taxonomies)

Code

1223X0400X
126800000X
124Q00000X
122300000X
1223E0200X
1223G0001X
1223P0106X
1223P0221X
1223P0300X

Primary Taxonomy

Yes
No
No
No
No
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

45 BLEEKER ST
45 BLEEKER ST

City

Newark
Newark

State

NJ
NJ

Postal Code

07102-1913
07102-1913

Country

US
US

Telephone Number

(973) 578-8788
(973) 578-8788

Authorized Official

Name

Michael Skolnick

Title or Position

OWNER

Telephone Number

(973) 578-8788

Identifiers

Identifier

NONE

Identifier State

Unknown

Identifier Issuer

NONE

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

whippany@pearlywhitesonline.com

Endpoint Description

Unknown

Use

Health Information Exchange (HIE)

Content Type

Unknown

Affiliation

N

Endpoint Location

45 Bleeker StNewark, NJ071021913US

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

Data last updated by provider on 03/11/2020

Provider Address

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

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Newark, NJ

Specialties: Endodontist (Primary)Dental AssistantDental HygienistGeneral Practice DentistryOral and Maxillofacial Surgery (Dentist)Orthodontics and Dentofacial Orthopedic DentistPeriodontistProsthodontist