| All American Dental, P.c | |
|
1210 Raymond Blvd Newark NJ 07102-2903 | |
| (973) 645-0200 | |
| Not Available |
| Full Name | All American Dental, P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1210 Raymond Blvd, Newark, New Jersey |
| Authorized Official Name and Position | Aleksey Novakhov (OWNER) |
| Authorized Official Contact | 9083535400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All American Dental, P.c 1210 Raymond Blvd Newark NJ 07102-2903 Ph: (973) 645-0200 | All American Dental, P.c 1210 Raymond Blvd Newark NJ 07102-2903 Ph: (973) 645-0200 |
| NPI Number | 1649441742 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649441742 | NPI | - | NPPES |
| 0119261 | Medicaid | NJ | |
| 0030686 | Medicaid | NJ | |
| 0146455 | Medicaid | NJ | |
| 0020079 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02059900 (New Jersey) | Primary |
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