ADVANCED PROSTHODONTICS AND IMPLANT CENTER, LLC (NPI# 1467706515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467706515 |
| Entity Type | Organization |
| Organization Name | ADVANCED PROSTHODONTICS AND IMPLANT CENTER, LLC |
| Other Organization Name | WAYNE HILLS DENTAL, LLC |
| Practice Address |
401 Hamburg Tpke Suite 101 Wayne NJ 07470-2154 |
| Practice Telephone | 2012208224 |
| Mailing Telephone | 2012208224 |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | DR. ASMAHAN A KHATER (OWNER) |
| Authorized Official Telephone | 2012208224 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI02425400 | NJ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Wayne Hills Dental, LLC | Doing Business As Name - Organization |
| Street Address |
401 HAMBURG TPKE SUITE 101 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457309445 | Freda Hana Martin | Social Worker | 401 Hamburg Tpke, Suite 403, Wayne, NJ 07470-2154 | 2006-05-04 |
| 1427659473 | Katherine Boutillier | Social Worker | 401 Hamburg Tpke, Wayne, NJ 07470-2154 | 2020-11-05 |
| 1174158299 | Emily Coyle | Nurse Practitioner | 401 Hamburg Tpke, Wayne, NJ 07470-2154 | 2020-03-09 |
| 1235788092 | Mary Fitzgerald Switala | Nurse Practitioner | 401 Hamburg Tpke, Wayne, NJ 07470-2154 | 2019-09-04 |
| 1609376946 | Qayyum A Khan | Physical Therapist | 401 Hamburg Tpke, Suite 204, Wayne, NJ 07470 | 2018-02-13 |
| 1336687136 | Steve Orlando Rodney | Nurse Practitioner | 401 Hamburg Tpke, Wayne, NJ 07470-2154 | 2017-02-01 |
| 1770038788 | Isaac O Omoloyin | Nurse Practitioner | 401 Hamburg Tpke, Suite 302, Wayne, NJ 07470-2154 | 2016-08-19 |
| 1316301443 | Wayne Orthodontics LLC | Dentist | 401 Hamburg Tpke, Suite 210, Wayne, NJ 07470-2154 | 2016-04-05 |
| 1023473303 | Lumina Women's Care LLC | Obstetrics & Gynecology | 401 Hamburg Tpke, Suite 104, Wayne, NJ 07470-2154 | 2015-12-30 |
| 1174934251 | Diamond Braces Wayne | Dentist | 401 Hamburg Tpke, Suite 210, Wayne, NJ 07470-2154 | 2014-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679618433 | Main Line Dental Group PC | Dentist | 744 West Lancaster Ave, Devon Square II Suite 115, Wayne, PA 19087-2523 | 2007-02-20 |
| 1235665894 | Nicole Deakins | Dentist | 744 W Lancaster Ave, Devon Square II, Suite 115, Wayne, PA 19087-2523 | 2017-05-02 |
| 1841542370 | Asmahan A Khater | Dentist | 401 Hamburg Turnpike, Suite 101, Wayne, NJ 07470 | 2012-10-08 |
| 1619096310 | Jason H Seo | Dentist | 330 Ratzer Rd, Suite C-22, Wayne, NJ 07470-7702 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
| 1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
| 1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
| 1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1013161553 | George Thomas Favetta Jr. | Dentist | 1966 Washington Valley Rd, Martinsville, NJ 08836-2037 | 2008-11-11 |
| 1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
| 1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
| 1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
| Find all providers with the same taxonomy | ||||
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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.