HERAWATI T KANDOU DDS PA (NPI# 1245499847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245499847 |
| Entity Type | Organization |
| Organization Name | HERAWATI T KANDOU DDS PA |
| Practice Address |
163 Washington Valley Rd Ste 106 Washington Valley Office Park Warren NJ 07059-7181 |
| Practice Telephone | 7325605988 |
| Practice Fax Number | 7325636999 |
| Mailing Telephone | 7325605988 |
| Mailing Fax Number | 7325636999 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | DR. HERAWATI T KANDOU (PRESIDENT ORTHODONTIST) |
| Authorized Official Telephone | 7325605988 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | HERAWATI T KANDOU DDS PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3026 | NJ | Dental Providers |
| Y | 122300000X | Dentist | 9708 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871666586 | Herawati T Kandou Dds Pa | Dentist | 35 Jefferson Avenue, Elizabeth, NJ 07201-2425 | 2006-11-17 |
| Street Address |
163 WASHINGTON VALLEY RD STE 106 WASHINGTON VALLEY OFFICE PARK |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-7181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| 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 |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1063071249 | Unique Smiles Dental | Dentist | 28315 Hoover Rd, Warren, MI 48093-4151 | 2019-06-11 |
| 1467968941 | Brighter Dental Care (warren) | Dentist | 55 Mountain Blvd Ste 205, Warren, NJ 07059-2627 | 2017-12-20 |
| 1821503269 | Tru Dental Michigan II, Pllc | Dentist | 25900 Dequindre Rd, Warren, MI 48091-6107 | 2017-12-07 |
| 1568975126 | Michele M. Tulak-gorecki | Dentist | 1905 Marlow Dr., Warren, MI 48092-2175 | 2017-11-06 |
| 1154770717 | Zachary Scott Colclasure | Dentist | 470 Bennett Dr Ste A, Warren, IN 46792-9273 | 2016-06-05 |
| 1518316173 | Abigail Jayne Colclasure | Dentist | 470 Bennett Dr Ste C, Warren, IN 46792-9273 | 2016-06-05 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1124409313 | Shawn Nguyen | Dentist | 27600 Hoover Rd Ste 1, Warren, MI 48093-7721 | 2015-06-12 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on HERAWATI T KANDOU DDS PA.
| 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.