RENAISSANCE DENTAL GROUP, PC (NPI# 1073725248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073725248 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE DENTAL GROUP, PC |
| Practice Address |
596 Anderson Ave Suite# 206a Cliffside Park NJ 07010 |
| Practice Telephone | 2018407777 |
| Practice Fax Number | 2018400377 |
| Mailing Telephone | 2018407777 |
| Mailing Fax Number | 2018400377 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | DR. ANITA SHULMAN (PRESIDENT) |
| Authorized Official Telephone | 2018407777 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
596 ANDERSON AVE SUITE# 206A |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847193 | Violet S Master | Internal Medicine | 596 Anderson Ave, 216, Cliffside Park, NJ 07010-1831 | 2006-01-31 |
| 1245696244 | Palisades Urgent Care, LLC | Clinic/Center | 596 Anderson Ave, Cliffside Park, NJ 07010-1831 | 2016-01-06 |
| 1932565983 | Palisades Rehab and Physical Therapy Center, LLC | Clinic/Center | 596 Anderson Ave, 108, Cliffside Park, NJ 07010-1831 | 2016-01-06 |
| 1457724791 | Victoria Drob | Counselor | 596 Anderson Ave, Ste 302, Cliffside Park, NJ 07010-1856 | 2015-11-09 |
| 1972937233 | Womens Special Care P.C. | Obstetrics & Gynecology | 596 Anderson Ave, Suite 302, Cliffside Park, NJ 07010-1831 | 2013-08-22 |
| 1134424914 | Huey H Cheng | Specialist/Technologist, Other | 596 Anderson Ave, Suite 203, Cliffside Park, NJ 07010-1831 | 2011-01-25 |
| 1023328267 | First-class Dental PC | Dentist | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2010-10-20 |
| 1346472321 | Palisades Rehab and Spinal Care Group | Pain Medicine | 596 Anderson Ave, Suite 108, Cliffside Park, NJ 07010-1831 | 2009-08-10 |
| 1417199100 | Sleep Lab LLC | Pediatrics | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2009-03-27 |
| 1073779047 | St Dental | Dentist | 596 Anderson Ave, Suite 305, Cliffside Park, NJ 07010-1831 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053587238 | Eugene M. Sheen | Dentist | 220b Cliff St, Cliffside Park, NJ 07010-1409 | 2008-05-07 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| 1730387648 | Catherine A Ruiz Santos | Dentist | 620 Anderson Ave, Cliffside Park, NJ 07010 | 2007-07-03 |
| 1790826865 | Debra Gail Landau-kennis | Dentist | 537 Anderson Street, Cliffside Park, NJ 07010 | 2007-02-09 |
| 1932240645 | John J. Totera | Dentist | 547 Anderson Ave, Cliffside Park, NJ 07010-1722 | 2007-02-08 |
| 1245314459 | Dennis John Jastrzebski | Dentist | 555 Gorge Road, Cliffside Park, NJ 07010 | 2006-10-24 |
| 1245311984 | Mario A. Frangiskou | Dentist | 460 Anderson Ave, Cliffside Park, NJ 07010-1529 | 2006-10-18 |
| 1851408066 | Shmuil Aronovich | Dentist | 546 Anderson Ave, Cliffside Park, NJ 07010 | 2006-08-24 |
| 1215951546 | Mark Alan Kantrowitz | Dentist | 451 Palisade Ave, Cliffside Park, NJ 07010-2825 | 2006-07-27 |
| 1487686390 | John P Sousa | Dentist | 696 Anderson Ave, Cliffside Park, NJ 07010-2030 | 2006-07-07 |
| Find all providers in CLIFFSIDE PARK | ||||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.