GEORGE XENAKIS, DDS, PALISADES PARK, LLC (NPI# 1366836520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366836520 |
| Entity Type | Organization |
| Organization Name | GEORGE XENAKIS, DDS, PALISADES PARK, LLC |
| Practice Address |
261a Broad Ave Palisades Park NJ 07650 |
| Mailing Address |
261a Broad Avenue Palisades Park NJ 07650 |
| Practice Telephone | 2016763003 |
| Practice Fax Number | 2016762613 |
| Mailing Telephone | 2016763003 |
| Mailing Fax Number | 2016762613 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DR. GEORGE XENAKIS (GENERAL MANAGER) |
| Authorized Official Telephone | 2126430927 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
22DI01715600 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831649201 | George Xenakis, Dds, Palisades Park, LLC | Clinic/Center | 1723 Route 27, Edison, NJ 08817-3471 | 2016-10-10 |
| 1760830293 | George Xenakis, Dds, Palisades Park, LLC | Clinic/Center | 946 Main St, Hackensack, NJ 07601-5136 | 2016-05-25 |
| Street Address |
261A BROAD AVE |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1437631371 | Catherine Jang | Pharmacist | 113 Roosevelt Pl, Palisades Park, NJ 07650 | 2018-09-06 |
| 1063911782 | Jinwoo Kim | Acupuncturist | 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 | 2018-02-08 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1245637842 | Sun Young Lee | Nurse Practitioner | 11 West Harriet Ave, Apt 102, Palisades Park, NJ 07650 | 2014-11-25 |
| 1063824290 | Daehwan Ji | Acupuncturist | 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650 | 2014-05-22 |
| 1295084739 | Minhyun Cho | Counselor | 19 E Central Blvd, Palisades Park, NJ 07650 | 2012-08-30 |
| 1255693164 | Juliana A Vasquez | Specialist | 446 7th Street, Palisades Park, NJ 07650 | 2012-06-15 |
| 1295019529 | Now Pain Clinc PC | Residential Treatment Facility, Physical Disabilities | 21 Grand Ave #502, Palisades Park, NJ 07650 | 2011-10-05 |
| 1558524462 | Julia E. Kim | Optometrist | 171 Roosevelt Place, Ground Floor, Palisades Park, NJ 07650 | 2008-07-10 |
| Find all providers in zip 07650 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
| City | PALISADES PARK |
| Zip Code | 07650 |
Please comment or provide details below to improve the information on GEORGE XENAKIS, DDS, PALISADES PARK, LLC.
| 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.