ENGLEWOOD DENTAL, PA (NPI# 1417017146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417017146 |
| Entity Type | Organization |
| Organization Name | ENGLEWOOD DENTAL, PA |
| Practice Address |
370 Grand Ave Suite 200 Englewood NJ 07631-4154 |
| Practice Telephone | 2018713555 |
| Practice Fax Number | 2018719096 |
| Mailing Telephone | 2018713555 |
| Mailing Fax Number | 2018719096 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | DR. JOHN MINICHETTI (PRESIDENT) |
| Authorized Official Telephone | 2018713555 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI01893500 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891715330 | Englewood Dental, Pa | Dentist | 370 Grand Ave, Suite 200, Englewood, NJ 07631-4154 | 2006-07-20 |
| Street Address |
370 GRAND AVE SUITE 200 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239490 | Alicia C Skarimbas | Family Medicine | 370 Grand Ave, Englewood, NJ 07631-4154 | 2005-07-19 |
| 1326583055 | Toni Shy | Social Worker | 370 Grand Ave, Suite 101, Englewood, NJ 07631-4154 | 2017-01-04 |
| 1295073617 | Tracy Scheller, Md LLC | Legal Medicine | 370 Grand Ave, Suite 202, Englewood, NJ 07631-4154 | 2013-01-18 |
| 1376880039 | Englewood Women's Health, PC | Legal Medicine | 370 Grand Ave, Suite 202, Englewood, NJ 07631-4154 | 2013-01-14 |
| 1477703007 | Michael Brian Loewinger | Internal Medicine | 370 Grand Ave, Suite 102, Englewood, NJ 07631-4154 | 2008-09-18 |
| 1316133564 | Englewoodknee & Sports Medicine P.C. | Specialist | 370 Grand Ave, Suite 100, Englewood, NJ 07631-4154 | 2007-09-21 |
| 1548475866 | Steven F. Frier, M.d. | Internal Medicine | 370 Grand Ave, 102, Englewood, NJ 07631-4154 | 2007-05-11 |
| 1003036815 | Englewood Ob Gyn Associates, PC | Obstetrics & Gynecology | 370 Grand Ave, Suite 202, Englewood, NJ 07631-4154 | 2007-04-26 |
| 1235294414 | Medical Partners, LLC | Podiatrist | 370 Grand Ave, Suite 101, Englewood, NJ 07631-4154 | 2006-12-27 |
| 1497818280 | Yoo Jeong Anna Hong | Dentist | 370 Grand Ave, Suite 200, Englewood, NJ 07631-4154 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| 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 |
|---|---|---|---|---|
| 1942864509 | Sopris Smiles | Dentist | 1610 E Girard Pl Ste B, Englewood, CO 80113-3100 | 2019-04-29 |
| 1366960775 | On-site Dentist, LLC | Dentist | 10734 E Berry Ave, Englewood, CO 80111-3972 | 2017-09-06 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1992155311 | Elizabeth Knott | Dentist | 101 W Hampden Ave Unit A, Englewood, CO 80110-2475 | 2016-06-16 |
| 1104274976 | Amar Mistry | Dentist | 9000 N Main St Ste 207, Englewood, OH 45415-1165 | 2016-06-02 |
| 1881077691 | Benjamin Charles Bass | Dentist | 6501 E Belleview Ave, Suite 120, Englewood, CO 80111-6022 | 2015-06-30 |
| 1194134064 | Kimberlie A Yun | Dentist | 401 S Van Brunt St # 404, Englewood, NJ 07631-4604 | 2014-08-05 |
| 1588097760 | Weerasooriya and Weerasooirya Dmd Pa | Dentist | 1861 Placida Rd Ste 105, Englewood, FL 34223-4900 | 2013-08-12 |
| 1720424633 | Mani Farzim | Dentist | 10500 Spring Green Dr Apt 110, Englewood, CO 80112-5745 | 2013-05-18 |
| 1538466065 | Dasilva Family Dentistry | Dentist | 11435 E Briarwood Ave Ste 400, Englewood, CO 80112-3828 | 2011-02-18 |
| Find all providers in ENGLEWOOD | ||||
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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.