ISMILE DENTAL CARE OF BLOOMFIELD (NPI# 1124631478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124631478 |
| Entity Type | Organization |
| Organization Name | ISMILE DENTAL CARE OF BLOOMFIELD |
| Practice Address |
1455 Broad St Ste 105 Bloomfield NJ 07003-3039 |
| Practice Telephone | 3473316681 |
| Mailing Telephone | 3473316681 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | DR. AHMED BEHEIRY (OWNER) |
| Authorized Official Telephone | 3473316681 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1455 BROAD ST STE 105 |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1043606239 | Amrita S. Varma | Dentist | 401-franklin St., The Center for Dentistry of Bloomfield, Pa, Bloomfield, NJ 07003 | 2015-04-14 |
| 1376959890 | Izaz M. Khan | Dentist | 317 Cottage Grove Rd, Bloomfield, CT 06002-3148 | 2014-07-03 |
| 1417377573 | Marina Sereda | Dentist | 27 Fritz St, Bloomfield, NJ 07003-4009 | 2014-04-16 |
| 1700143195 | Bryce Eagar | Dentist | 100 N Church St Ste B, Bloomfield, NM 87413-5754 | 2012-04-23 |
| 1265752638 | Sara R Rogers | Dentist | 112 Fairfield Hill Road, Bloomfield, KY 40008-0484 | 2010-06-08 |
| 1053549568 | Randall K. Freeman, Dds | Dentist | 54 West Main Street, Bloomfield, NY 14469-9231 | 2009-06-24 |
| 1669624839 | Vincent Joseph Lipoma | Dentist | 30 Huck Rd, Bloomfield, NJ 07003-4123 | 2008-10-18 |
| 1588839443 | David Stanley Tomaszewicz | Dentist | 15 Grove St, Bloomfield, NJ 07003-5611 | 2008-04-22 |
| 1235348301 | Jeffrey Theodore Dull | Dentist | 150 Byrd Avenue, Bloomfield, NJ 07003 | 2007-05-22 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.